Individual
TARA O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 E ELLSWORTH, ANN ARBOR, MI 48108
(734) 555-3050
Mailing address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 554-3050
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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