Individual
MS. TARA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
1743 NW 37TH, OKLAHOMA CITY, OK 73118
(405) 830-4472
Mailing address
1743 NW 37TH, OKLAHOMA CITY, OK 73118
(405) 830-4472
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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