Tara Lou Gladden Valid NPI

Individual provider · Peer Specialist · Cushing, OK

NPI

1407491798

Type

Individual (Type 1)

Primary specialty

Peer Specialist

Specialty group

Other Service Providers

Taxonomy code

175T00000X

Sex

Female

Sole proprietor

No

Enumerated

2019-11-11

Last updated

2019-11-11