Individual
TRACY MINEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 MAPLE ST, EAST LONGMEADOW, MA 01028-2722
(413) 746-4673
Mailing address
147 MAPLE ST, EAST LONGMEADOW, MA 01028-2722
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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