Individual
MRS. TARA MABIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
634 GRASSHOPPER APT 328, KALAMAZOO, MI 49009-3208
(269) 568-1296
Mailing address
634 GRASSHOPPER APT 328, KALAMAZOO, MI 49009-3208
(269) 568-1296
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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