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Individual

MARY TACKBARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
928 S GARFIELD AVE STE 3A, TRAVERSE CITY, MI 49686-2403
(231) 835-0115
(231) 216-7641
Mailing address
3932 W BRIAR HILL DR, MAPLE CITY, MI 49664-9521
(630) 776-0303

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704106451
MI

Other

Enumeration date
07/14/2020
Last updated
02/20/2025
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