Individual
TARA URBANAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5 DEERFIELD PL, BEACON, NY 12508-1514
(845) 831-8183
Mailing address
5 DEERFIELD PL, BEACON, NY 12508-1514
(845) 831-8183
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
0581401
NY
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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