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1568144186
EMMA CAITLEN TACKETT
CHILLICOTHE, OH
NPI
1568144186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.184789)
Enumeration Date
2023-08-03
Last Update Date
2023-08-03
Business Address
EMMA CAITLEN TACKETT CDCA
16643 STATE ROUTE 104
CHILLICOTHE, OH 45601-9718
Phone number: 740-775-4326
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Mailing Address
EMMA CAITLEN TACKETT CDCA
2100 STELLA CT
COLUMBUS, OH 43215-1011
Phone number: 614-502-7812
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