Tara Davis
Tara Davis is a Recovery Care Clinic/Center in Saint Louis, Missouri. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
4405 June AveSaint Louis, MO 63121-3232
Phone: (314) 456-4284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Recovery Care Clinic/Center (primary) | Taxonomy 261QR0800X |
|---|
Record details
| NPI number | 1447867395 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 24, 2020 |
| Last updated in NPPES | September 24, 2020 |
| Certification date | September 24, 2020 |
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