Individual
TRACI BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6350 RIVO LAKES BLVD, SARASOTA, FL 34241-2727
(941) 812-1950
Mailing address
6350 RIVO LAKES BLVD, SARASOTA, FL 34241-2727
(941) 812-1950
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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