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Tara Davis
NPI 1447867395 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4405 June Ave
Saint Louis, MO 63121 - Phone
- (314) 456-4284
- Organisation at this address
- Tender Caring Teens Living Center
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 261QR0800X
261QR0800X
- Sex
- Female
- Record last updated
- 2020-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri