Individual
TRACE JORY LOPTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
115 MIDDLETON ST, NASHVILLE, TN 37210-2233
(815) 739-8034
Mailing address
115 MIDDLETON ST., NASHVILLE, TN 37210
(815) 739-8034
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/21/2015
Last updated
11/03/2016
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