Individual
TRACY R DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
151 DREXLER CIR, ELIZABETHTOWN, KY 42701
(270) 506-2730
Mailing address
151 DREXLER CIR, ELIZABETHTOWN, KY 42701-7843
(270) 506-2730
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/07/2013
Last updated
10/24/2018
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