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Individual

TRACEY WISDOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCDC

Contact information

Practice address
201 PINE TREE RD, LONGVIEW, TX 75604-4140
(903) 759-4966
Mailing address
201 PINE TREE RD, LONGVIEW, TX 75604-4140

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
02/20/2025
Last updated
02/20/2025
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