Individual
MS. TARA BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 W HUFFAKER LN # 302-303, RENO, NV 89511
(775) 391-0521
Mailing address
45 CALIFORNIA AVE APT 11, RENO, NV 89509-1618
(602) 502-0161
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0855
NV
106H00000X
Marriage & Family Therapist
MI0120
NV
Other
Enumeration date
06/24/2009
Last updated
09/25/2018
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