Individual
ACHANTEE TATIANA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
523 N SELTZER ST, CRESTLINE, OH 44827-1440
(419) 405-4174
Mailing address
361 ALTAMONT AVE, MANSFIELD, OH 44902-7807
(419) 544-1810
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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