Tara Lou Gladden

NPI #1407491798 in Cushing, Oklahoma

Provider Information

NPI Number: 1407491798
Entity Type: Individual
Name: Tara Lou Gladden
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Nov 11, 2019
Last Updated: Nov 11, 2019

Practice Location

Address: 14221 E 74TH ST
City: Cushing
State: Oklahoma
ZIP Code: 74023-6723
Phone: (405) 614-5470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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