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Contact Information

SARA M TAVORA, LLMSW
520 SUPERIOR ST
PORT HURON, MI48060-3838
 Phone: 810-984-4202
 Fax: 810-984-8896
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for SARA M TAVORA · (Female)

NPI # 1003001819
Status Active
Credentials LLMSW
Entity Individual
Enumeration date 09/14/2007
Last updated 09/14/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 6801089286
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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