Individual
TAMMY ROBERTA HARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
966 U.S.160, DONIPHAN, MO 63935
(573) 996-2203
Mailing address
966 U.S.160, DONIPHAN, MO 63935
(573) 996-2203
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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