Stafford, Tara

Stafford, Tara is an sole proprietor health care provider with primary practice located at 714 W Main St , Grass Valley CA 95945-6410. She recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as her primary health care specialty. Stafford, Tara can be contacted via phone (530) 477-9800.

Contact Information

Primary practice address
714 W Main St Grass Valley CA 95945-6410
Phone: (530) 477-9800
Fax: (530) 477-9803
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1750621710
LBN Legal business name Stafford, Tara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2013
Last updated Feb 27th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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