Provider Information for 1376790469
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Mrs. TAMARA ANN TARVER LMFT, MAC, Q-SAP
Sex: Female
NPI: 1376790469
Last Updated: 2013-03-20
Certification Date:
Certification Date:
Details
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NPI | 1376790469 | ||||||||
Enumeration Date | 2008-08-20 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 222 PARKWAY SEVIERVILLE, TN 37862-3429 United States Phone: 865-386-4183 | Fax:865-365-4144 | ||||||||
Primary Practice Address | 222 PARKWAY SEVIERVILLE, TN 37862-3429 United States Phone: 865-386-4183 | Fax:865-365-4144 | ||||||||
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