Individual
MS. TARA CAYE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4354 STOCKTON DR, NORTH LITTLE ROCK, AR 72117-2917
(501) 955-7600
(501) 955-7612
Mailing address
PO BOX 15968, LITTLE ROCK, AR 72231-5968
(501) 221-1843
(501) 221-2376
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1823-M
AR
1041C0700X
Clinical Social Worker
Primary
2282-C
AR
Other
Enumeration date
09/06/2006
Last updated
08/27/2009
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