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Individual

TRALIE STORTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15 N 3RD ST # 300, NEWARK, OH 43055-5550
(740) 349-7511
Mailing address
15 N 3RD ST STE 300, NEWARK, OH 43055-5550
(614) 487-8758

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
06/09/2021
Last updated
02/23/2022
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