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1417630708
TAMMY TACKETT
LOUISA, KY
NPI
1417630708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2023-08-11
Last Update Date
2024-03-27
Business Address
TAMMY TACKETT
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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Mailing Address
TAMMY TACKETT
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Copy
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