Whalio Doctors

NPI 1003001819

Sara M Tavora, LMSW

Practitioner Clinical Social Worker Port Huron, MI

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
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 6801089286 (MI)

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.