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Individual
TRACY L FOSS
Active
Individual
TRACY L FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.193503
OH
164W00000X
Licensed Practical Nurse
Primary
LPN.174049.MEDS-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0403865
—
OH
Enumeration date
05/19/2020
Last updated
06/23/2026
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