Tracy Ann Wine MSW, LGSW

NPI 1275884017 - Social Worker - 104100000X

NPI Details
NPI 1275884017
Gender Female
Enumeration Date 09/19/2012
Last Updated 09/19/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
448 LEONARD AVE.
VALLEY HEALTHCARE SYSTEM
FAIRMONT WV, 26554, US
Phone (304) 296-1731
Fax (304) 225-2288
Business Location
301 SCOTT AVE.
VALLEY HEALTHCARE SYSTEM
MORGANTOWN WV, 26508, US
Phone (304) 296-1731
Fax (304) 225-2288
Toxanomy
Taxonomy Code 104100000X
License State West Virginia
License Number BP00944095
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According to our database, Mrs. Tracy Ann Wine MSW, LGSW NPI is 1275884017, taxonomy code is 104100000X and license number is BP00944095, license state is located at West Virginia. Tracy Ann Wine MSW, LGSW physically located at 448 Leonard Ave., Fairmont WV, 26554. NPI Number Tracy Ann Wine MSW, LGSW has the Individual type.

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1275884017 NPI number is provided on an as is basis without warranty of any kind. 1275884017 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Ann Wine MSW, LGSW are for informational purposes only.