Individual
TARA D CAUDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 GROVE RUN RD, COMMERCIAL POINT, OH 43116-9707
(614) 565-9151
Mailing address
133 GROVE RUN RD, COMMERCIAL POINT, OH 43116-9707
(614) 565-9151
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
02/05/2022
Last updated
02/05/2022
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