Tiffany Rae Barricklow

NPI #1720572738 in Chardon, Ohio

Provider Information

NPI Number: 1720572738
Entity Type: Individual
Name: Tiffany Rae Barricklow
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jun 22, 2018
Last Updated: Jun 22, 2018

Practice Location

Address: 12041 RAVENNA RD # 12041
City: Chardon
State: Ohio
ZIP Code: 44024-7008
Phone: (440) 286-7154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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