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Individual

TARA ELIZABETH GAVARDINAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHCNS-BC

Contact information

Practice address
THE INDIANA CLINIC, 340 W. 10TH STREET, FS 5100, INDIANAPOLIS, IN 46202
(317) 944-4000
Mailing address
12538 GLENDURGAN DR, CARMEL, IN 46032-8313
(317) 996-2982

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
28155670A
IN

Other

Enumeration date
12/01/2010
Last updated
03/13/2018
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