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1538481536
JOHN DEWEY TACKETT
MANSFIELD, OH
NPI
1538481536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH I.0900182)
Enumeration Date
2010-02-18
Last Update Date
2010-08-18
Business Address
Mr. JOHN DEWEY TACKETT
1817 SAWMILL PL
MANSFIELD, OH 44904-1713
Phone number: 419-775-8870
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Mailing Address
Mr. JOHN DEWEY TACKETT
1817 SAWMILL PL
MANSFIELD, OH 44904-1713
Phone number: 419-775-8870
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