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Individual
TAMMY BUERGER
Active
Individual
TAMMY BUERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANAGER, QMHS
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074861
ODADAS
OH
01
—
0074946
ODMH
OH
01
—
01-0693
CARF
OH
01
—
H130910
PTAN GROUP
OH
Enumeration date
11/07/2017
Last updated
11/07/2017
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