Most Relevant Information
Provider Data
| NPI Number: | 1003581695 |
| Provider Name: | TARA WINSOR MSW, LCSWA |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | P016505 |
Most Important Dates
| Enumeration Date: | 08/16/2021 |
| Last Updated: | 08/16/2021 |
Provider Practice Location
365 SHAD LN
APEX
NC
275235547
Practice Location Phone/Fax
| Phone: | 9199172855 |
| Fax: |
Provider Mailing Location
365 SHAD LN
APEX
NC
275235547
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |