Whitley Ariel Tackett

NPI #1740838531 in Waverly, Ohio

Provider Information

NPI Number
1740838531
Entity Type
Individual
Name
Whitley Ariel Tackett
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Aug 27, 2019
Last Updated
Jun 29, 2023

Practice Location

Address
196 E EMMITT AVE
State
Ohio
ZIP Code
45690-1334
Phone
(740) 708-5134

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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