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Individual

MS. TARA M. PIERCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
335 COUNTY HOME ROAD, WENTWORTH, NC 27375-0301
(336) 342-5756
(336) 349-1115
Mailing address
P.O. BOX 301, WENTWORTH, NC 27375-0301
(336) 342-5756
(336) 349-1115

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1108
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6105221
NC
Enumeration date
05/10/2006
Last updated
02/02/2009
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