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Dana M Tackett

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

NPI number1124474531
StatusActive
Last updated in NPPESJun 30, 2016

Details

NPI
1124474531
Entity type
Individual (NPI-1)
Name
Dana M Tackett
Sex
Female
Sole proprietor
No
Enumeration date
May 5, 2016
Last updated
Jun 30, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

953 S South St
Wilmington, OH 45177-2921

Phone 937-383-4441 · Fax 937-383-2916

Mailing address

204 Cook Rd
Suite 400
Lebanon, OH 45036-9600

Phone 513-228-7800 · Fax 513-695-2952

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