Individual
MS. DEBRA A YACOVONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8338 GREYHAWK CIR, COLUMBUS, OH 43240-2001
(740) 602-0491
Mailing address
8338 GREYHAWK CIR, COLUMBUS, OH 43240-2001
(740) 602-0491
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2106518
DCBDD
OH
Enumeration date
01/18/2021
Last updated
01/18/2021
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