Individual
JUDITH DIANE TACCHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
3995 MARCOLA RD, SPRINGFIELD, OR 97477-7948
(541) 726-1465
Mailing address
3101 KINSROW AVE, #6, EUGENE, OR 97401-8064
(541) 331-0119
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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