Individual
MS. TRACY VANBUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
8520 CLIFF CAMERON DRIVE, SUITE 460 EXCEL PERSONEL DEVELOPMENT, CHARLOTTE, NC 28269
(704) 510-1535
(704) 940-8060
Mailing address
8427 APPLEDALE DRIVE, CHARLOTTE, NC 28262
(704) 649-5063
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
NC2299
NC
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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