Tara Detillion
NPI #1457168148 in Mount Gilead, Ohio
Provider Information
- NPI Number
- 1457168148
- Entity Type
- Individual
- Name
- Tara Detillion
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Dec 16, 2024
- Last Updated
- Dec 16, 2024
Practice Location
- Address
- 528 W MARION RD
- City
- Mount Gilead
- State
- Ohio
- ZIP Code
- 43338-1085
- Phone
- (419) 947-4560
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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