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Individual

MS. ROSE MARY TANKS

Active
Find providers by NPI
Individual

MS. ROSE MARY TANKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW-S,LICDC-CS,LPN

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
965748
OH
104100000X
Social Worker
Primary
1.0010124
OH
164W00000X
Licensed Practical Nurse
PN-049022
OH
171W00000X
Contractor
3115042
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3152743
—
OH
01
—
965748
OHIO PROFESSIONAL CHEMICAL DEPENDENCY BOARD
OH
01
—
I.10010124
OHIO FAMILY COUNSELING AND SOCIAL WORKER BOARD
OH
01
—
PN.049022 MEDS
OHIO NURSING BOARD
OH
Enumeration date
05/24/2007
Last updated
08/10/2023
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