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Individual

TARA TENIER CROSBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
4230 BEAVER CREEK DR, MASON, TN 38049-6806
(312) 402-6747
Mailing address
4230 BEAVER CREEK DR, MASON, TN 38049-6806
(312) 402-6747

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
TN
253Z00000X
In Home Supportive Care Agency
4015
TN

Other

Enumeration date
07/11/2022
Last updated
09/16/2025
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