Individual
TARA FOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
656 CHERRY ST E, CANAL FULTON, OH 44614-1251
(330) 958-5838
Mailing address
656 CHERRY ST E, CANAL FULTON, OH 44614-1251
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2202416-TRNE
OH
172A00000X
Driver
—
OH
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0311090
—
OH
Enumeration date
09/10/2021
Last updated
06/24/2026
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