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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA DEROO LLC

Active Organization

TARA DEROO LLC is a Social Worker organization located in GRAND RAPIDS, Michigan. NPI 1306187802 is currently active in the NPPES registry. Verify at CMS.

Social Worker · GRAND RAPIDS, MI

Registration Details

NPI Number
1306187802
Provider Type
Organization
NPI Issued
Mar 7, 2013 (13.292439059247 yrs)
Last Updated
Mar 7, 2013
License
6801081584 (MI)

Practice Information

Address
4127 EMBASSY DR SE
GRAND RAPIDS, MI, 495462418
Browse MI providers · Browse ZIP 49546
Phone
6162643200
Fax
6162643201
Primary Specialty
Social Worker
104100000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.