Individual
MS. AMY LYNN TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3901 DARIEN HWY APT F12, BRUNSWICK, GA 31525-2503
(419) 515-1303
Mailing address
2927 DEMERE RD, SAINT SIMONS ISLAND, GA 31522-1620
(912) 638-1999
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW009682
GA
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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