Individual
RACHEL TIEBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 VIRGINIA AVE APT A, FAIRMONT, WV 26554-3659
(601) 745-5784
Mailing address
1300 VIRGINIA AVE APT A, FAIRMONT, WV 26554-3659
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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