Individual
MS. TRACY ANNE PEYMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
379 LOCUST AVE, OAKDALE, NY 11769-1650
(631) 244-5944
(631) 244-5979
Mailing address
379 LOCUST AVE, OAKDALE, NY 11769-1650
(631) 244-5944
(631) 244-5979
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
081154
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00659412
—
NY
Enumeration date
06/30/2010
Last updated
01/09/2015
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