Individual
MS. TARA JULIA BAYSOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9 HUNNEWELL RD, SCARBOROUGH, ME 04074-9539
(207) 835-1334
Mailing address
9 HUNNEWELL RD, SCARBOROUGH, ME 04074-9539
(207) 835-1334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC19570
ME
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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