Individual
TRACEY SPIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CAMELLIA LN APT 222, LITHONIA, GA 30058-4950
(678) 979-7710
(678) 922-7756
Mailing address
100 CAMELLIA LN APT 222, LITHONIA, GA 30058-4950
(678) 979-7710
(678) 922-7756
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/24/2015
Last updated
10/24/2015
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