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Individual
RYAN JAMES TACKETT
Active
Individual
RYAN JAMES TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, ASW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW129402
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/17/2023
Last updated
03/31/2025
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