Organization
TRACY H. BISHOP AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY H BISHOP LMSW (OWNER/ CLINICAL DIRECTOR)
(773) 548-2260
Entity
Organization
Contact information
Practice address
22750 WOODWARD AVE STE 208, FERNDALE, MI 48220-1753
(773) 548-2260
Mailing address
22750 WOODWARD AVE STE 208, FERNDALE, MI 48220-1753
(773) 548-2260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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