Individual
TARA LYNN CARRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 SHARON CT, MIDDLETOWN, OH 45042-4947
(513) 571-7850
Mailing address
6117 PARIS BLVD N, WESTERVILLE, OH 43081-4175
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN.435899
OH
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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