Female

Tara S. Townsend

Peer Specialist in Clarkston, MI(View on Map)

Full Name

Tara Sandra Marie Townsend

NPI Number

1053770933

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/19/2016

Specialties

(Taxonomies)

Code

175T00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

10103 DIXIE HWY APT 3
10103 DIXIE HWY APT 3

City

Clarkston
Clarkston

State

MI
MI

Postal Code

48348-2457
48348-2457

Country

US
US

Telephone Number

(248) 785-8773
(248) 785-8773

Identifiers

Identifier

105340379

Identifier State

MI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/19/2016

Provider Address

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