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Individual

TARA WEATHERS STOKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
257 CROSSBOW DR, COLUMBIA, SC 29212-1627
(803) 476-3800
Mailing address
257 CROSSBOW DR, COLUMBIA, SC 29212-1627
(803) 476-3800

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
158056
SC

Other

Enumeration date
09/03/2013
Last updated
09/03/2013
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