Individual
MRS. TRACY MICHELLE WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2220 MARGATE CT, LA GRANGE, KY 40031-8689
(502) 432-4979
Mailing address
2220 MARGATE CT, LA GRANGE, KY 40031-8689
(502) 432-4979
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201153905
KY
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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