Individual
SARA TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCMA
Contact information
Practice address
552 N PARK AVE, WARREN, OH 44481-1117
(234) 243-3127
Mailing address
5314 US ROUTE 322, WILLIAMSFIELD, OH 44093-9736
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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