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Individual

TARA LYNN HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
68 N 180 W, EPHRAIM, UT 84627-2130
(435) 283-9931
(435) 283-4920
Mailing address
164 N 200 E, EPHRAIM, UT 84627-1233
(435) 851-4012

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041S0200X
School Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801104054
UT
Enumeration date
01/26/2016
Last updated
02/28/2019
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