Individual
TARA NICOLE LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 JOHN NORMAN ST, CHARLESTON, WV 25301-1258
(304) 346-4164
Mailing address
5088 WASHINGTON ST W, CHARLESTON, WV 25313-1536
(681) 217-2081
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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