Individual
TARA BROWN RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1638 ANGELUS RD, CHESTERFIELD, SC 29709-8277
(843) 287-6623
Mailing address
1638 ANGELUS RD, CHESTERFIELD, SC 29709-8277
(843) 287-6623
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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