Individual
HEATHER C. TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., LISW
Contact information
Practice address
400 TUSCARAWAS ST W STE 200, CANTON, OH 44702
(330) 438-2400
Mailing address
5982 RHODES RD, KENT, OH 44240-8100
(330) 673-1347
(330) 678-3677
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1440019-SUPV
OH
Other
Enumeration date
04/08/2014
Last updated
05/24/2018
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