Individual
MS. DEBRA ANN TENNEY
Active
Individual
MS. DEBRA ANN TENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OTA.01293
OH
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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