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Tammy Marie Gwin

Peer Specialist in Xenia, OH. Individual provider (NPI-1).

NPI number1447921663
StatusActive
Last updated in NPPESSep 27, 2021

Details

NPI
1447921663
Entity type
Individual (NPI-1)
Name
Tammy Marie Gwin
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 27, 2021
Certification date
Sep 27, 2021
Last updated
Sep 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist–OHYes

Practice location

2867 Wyoming Dr
Xenia, OH 45385-4443

Phone 937-532-8533

Mailing address

2867 Wyoming Dr
Xenia, OH 45385-4443

Phone 937-532-8533

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