Individual
TRACY M BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
957 MASTERS DR, MONROE, GA 30655-8483
(404) 859-7433
Mailing address
957 MASTERS DR, MONROE, GA 30655-8483
(404) 859-7433
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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