Individual
TARA KAITLYN MCCASLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, CLC
Contact information
Practice address
2064 US HIGHWAY 45 BYP S, TRENTON, TN 38382-3507
(731) 487-2069
Mailing address
6033 BELEW DR, MILAN, TN 38358-6415
(731) 487-2069
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
326038.
TN
176B00000X
Midwife
Primary
CPM24040414
—
Other
Enumeration date
01/30/2024
Last updated
03/01/2024
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