Hattie M Tracy LISW, LCDCIII

NPI 1043435944 - Counselor - 101YA0400X

NPI Details
NPI 1043435944
Gender Female
Enumeration Date 04/16/2007
Last Updated 02/07/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
4209 STATE ROUTE 44
ROOTSTOWN OH, 44272-9698, US
Phone (330) 325-6697
Fax (330) 325-5970
Business Location
4209 STATE ROUTE 44
ROOTSTOWN OH, 44272-9698, US
Phone (330) 325-6697
Fax (330) 325-5970
Toxanomy
Taxonomy Code 101YA0400X
License State Ohio
License Number 081003
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According to our database, Hattie M Tracy LISW, LCDCIII NPI is 1043435944, taxonomy code is 101YA0400X and license number is 081003, license state is located at Ohio. Hattie M Tracy LISW, LCDCIII physically located at 4209 State Route 44, Rootstown OH, 44272-9698. NPI Number Hattie M Tracy LISW, LCDCIII has the Individual type.

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1043435944 NPI number is provided on an as is basis without warranty of any kind. 1043435944 is maintained by the National Plan & Provider Enumeration System. The contents of Hattie M Tracy LISW, LCDCIII are for informational purposes only.