Individual
DR. TRACY L LEGROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
1115 20TH ST, SUITE 205, HUNTINGTON, WV 25703-2071
(304) 691-1500
(304) 523-4358
Mailing address
1115 20TH ST, SUITE 205, HUNTINGTON, WV 25703-2071
(304) 691-1500
(304) 523-4358
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1004
WV
Other
Enumeration date
08/30/2011
Last updated
11/29/2021
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