Carla Hetric-Daniel

NPI #1245019843 in Fairborn, Ohio

Provider Information

NPI Number: 1245019843
Entity Type: Individual
Name: Carla Hetric-Daniel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Sep 25, 2023
Last Updated: Nov 16, 2023

Practice Location

Address: 302 W MAIN ST
City: Fairborn
State: Ohio
ZIP Code: 45324-5037
Phone: (937) 281-4673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Peer Specialist	175T00000X	Primary

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