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Tara Hart

Peer Specialist in Fargo, ND. Individual provider (NPI-1).

NPI number1003671975
StatusActive
Last updated in NPPESFeb 19, 2024

Details

NPI
1003671975
Entity type
Individual (NPI-1)
Name
Tara Hart
Sex
Female
Sole proprietor
No
Enumeration date
Feb 19, 2024
Certification date
Feb 19, 2024
Last updated
Feb 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

1122 1st Ave N
Fargo, ND 58102-4604

Phone 701-210-2491

Mailing address

1122 1st Ave N
Fargo, ND 58102-4604

Phone 701-210-2491

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