Individual
ANNA TARASYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
1608 LAKE ST, KALAMAZOO, MI 49001-3170
(269) 366-5325
Mailing address
1608 LAKE ST, KALAMAZOO, MI 49001-3170
(269) 366-5325
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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