Provider Information for 1952451197
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TARA L. SCHOELLER M.S.W., LICSW
Sex: Female
NPI: 1952451197
Last Updated: 2020-02-07
Certification Date: 2020-02-07
Certification Date: 2020-02-07
Details
| Name | Value | ||||||||
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| NPI | 1952451197 | ||||||||
| Enumeration Date | 2007-01-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 11675 CENTURY DR UNIT C ALPHARETTA, GA 30009-8367 United States Phone: 651-247-5126 | Fax:651-770-1879 | ||||||||
| Primary Practice Address | 11675 CENTURY DR UNIT C ALPHARETTA, GA 30009-8367 United States Phone: 651-247-5126 | Fax: | ||||||||
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