TYREE BANACKI-SHEPARD

DUBLIN, OH
NPI1861284135
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2025-05-21
Last Update Date2025-05-21
Business Address
TYREE BANACKI-SHEPARD
525 METRO PL N STE 300
DUBLIN, OH 43017-5320
Phone number: 855-289-1722
Mailing Address
TYREE BANACKI-SHEPARD
1397 S 4TH ST
COLUMBUS, OH 43207-1010
Phone number: