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Individual

TARA ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1005 N EASTMAN RD, LONGVIEW, TX 75601-4231
(903) 247-8262
Mailing address
604 OAK ST, LONGVIEW, TX 75605-5119

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110516
TX

Other

Enumeration date
12/15/2023
Last updated
12/15/2023
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