Provider Information for 1346560539
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Miss TAHSHA HANSARD LPC
Sex: Female
NPI: 1346560539
Last Updated: 2025-03-19
Certification Date: 2025-03-19
Certification Date: 2025-03-19
Details
Name | Value | ||||||||||||
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NPI | 1346560539 | ||||||||||||
Enumeration Date | 2010-06-10 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | PO BOX 740020 ATLANTA, GA 30374-0020 United States Phone: 312-733-9730 | Fax:773-866-8014 | ||||||||||||
Primary Practice Address | 7521 SE 15TH ST MIDWEST CITY, OK 73110-5425 United States Phone: 405-453-8004 | Fax:405-561-5857 | ||||||||||||
Secondary Practice Address(es) | 1845 NW 7TH ST | ||||||||||||
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