Most Relevant Information
Provider Data
| NPI Number: | 1003321084 |
| Provider Name: | TARA ROBIN DURANT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/12/2017 |
| Last Updated: | 12/12/2017 |
Provider Practice Location
8200 GEORGIA ST
MERRILLVILLE
IN
464106227
Practice Location Phone/Fax
| Phone: | 2197911400 |
| Fax: | 2197911422 |
Provider Mailing Location
8200 GEORGIA ST
MERRILLVILLE
IN
464106227
Provider Mailing Phone/Fax
| Phone: | 2197911400 |
| Fax: | 2197911422 |