Individual
MRS. TARA BETH GANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
920 FREDERICA ST STE 211, OWENSBORO, KY 42301-3077
(270) 316-8798
(270) 683-1123
Mailing address
920 FREDERICA ST STE 211, OWENSBORO, KY 42301-3077
(270) 316-8798
(270) 683-1123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3525
KY
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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