Individual
BREANNA RAY TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
197 CURTIS PKWY NE, CALHOUN, GA 30701-2063
(706) 463-6132
Mailing address
170 OLIVER WAY, DALTON, GA 30720-5822
(706) 913-7556
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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