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Individual

TARA GOLDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
244 ERICKSON AVE, ESSINGTON, PA 19029-1506
(610) 306-6314
Mailing address
244 ERICKSON AVE, ESSINGTON, PA 19029-1506

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-302767
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L-302767
IBCLC CREDENTIAL NUMBER
PA
Enumeration date
09/28/2022
Last updated
03/09/2023
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