NPI 1003001819
Sara M Tavora, LMSW
Practice location
- Address
- 520 Superior St, Port Huron, MI 48060-3838
- Phone
- (810) 984-4202
- Fax
- (810) 984-8896
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1003001819
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Sep 2007
- Record last updated
- 17 Sep 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.