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Mickey A Babcock, CDCA

Case Manager/Care Coordinator in Ironton, OH. Individual provider (NPI-1).

NPI number1013483973
StatusActive
Last updated in NPPESNov 6, 2020

Details

NPI
1013483973
Entity type
Individual (NPI-1)
Name
Mickey A Babcock
Credential
CDCA
Sex
Male
Sole proprietor
No
Enumeration date
Oct 18, 2018
Certification date
Nov 6, 2020
Last updated
Nov 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care CoordinatorCDCA.174799OHYes
171M00000X Case Manager/Care CoordinatorCDCA.170860OH

Practice location

700 Park Ave
Ironton, OH 45638

Phone 740-532-1613 · Fax 740-532-1715

Mailing address

Po Box 108
Ironton, OH 45638-0108

Phone 740-532-1613 · Fax 740-532-1715

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