WHITLEY ARIEL TACKETT

WAVERLY, OH
NPI1740838531
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-08-27
Last Update Date2023-06-29
Business Address
WHITLEY ARIEL TACKETT
196 E EMMITT AVE
WAVERLY, OH 45690-1334
Phone number: 740-708-5134
Mailing Address
WHITLEY ARIEL TACKETT
11307 STATE ROUTE 104 APT 25
LUCASVILLE, OH 45648-7706
Phone number: