Individual
TARA L EYTCHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1539 E 100 N, KOKOMO, IN 46901-3413
(765) 450-5657
(765) 450-6353
Mailing address
1539 E 100 N, KOKOMO, IN 46901-3413
(765) 450-5657
(765) 450-6353
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
09/02/2016
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