Individual
TARA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
113 BEACH PLAIN RD, DANVILLE, NH 03819-3122
(603) 836-8470
Mailing address
113 BEACH PLAIN RD, DANVILLE, NH 03819-3122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
118173
MA
1041C0700X
Clinical Social Worker
Primary
1832
NH
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300881
—
MA
Enumeration date
09/27/2010
Last updated
02/24/2021
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