Individual
MRS. TISHA LUCILLE DURBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4817 N PARKWAY, KOKOMO, IN 46901-3940
(765) 271-8207
Mailing address
5555 N TACOMA AVE STE 203, INDIANAPOLIS, IN 46220-3547
(317) 209-7990
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
10/18/2023
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