Most Relevant Information
Provider Data
| NPI Number: | 1003001819 |
| Provider Name: | SARA M TAVORA LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6801089286 |
Most Important Dates
| Enumeration Date: | 09/14/2007 |
| Last Updated: | 09/17/2019 |
Provider Practice Location
520 SUPERIOR ST
PORT HURON
MI
480603838
Practice Location Phone/Fax
| Phone: | 8109844202 |
| Fax: | 8109848896 |
Provider Mailing Location
520 SUPERIOR ST
PORT HURON
MI
480603838
Provider Mailing Phone/Fax
| Phone: | 8109844202 |
| Fax: | 8109848896 |