Tara Black

NPI #1053936559 in Middletown, Ohio

Provider Information

NPI Number: 1053936559
Entity Type: Individual
Name: Tara Black
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 10, 2020
Last Updated: Jun 10, 2020

Practice Location

Address: 1131 MANCHESTER AVE
City: Middletown
State: Ohio
ZIP Code: 45042-1925
Phone: (513) 896-7887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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