Provider Information for 1700641453
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Mrs. TAARA OATES LICSW
Sex: Female
NPI: 1700641453
Last Updated: 2024-02-20
Certification Date: 2024-02-20
Certification Date: 2024-02-20
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1700641453 | ||||||||
| Enumeration Date | 2024-02-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1124 WAKEFIELD DR E MOBILE, AL 36695-8587 United States Phone: 251-382-2185 | Fax: | ||||||||
| Primary Practice Address | 1124 WAKEFIELD DR E MOBILE, AL 36695-8587 United States Phone: 251-382-2185 | Fax: | ||||||||
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