Individual
MRS. TRACY RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, QIDP, QMHP
Contact information
Practice address
1040 N TOWERLINE RD, SAGINAW, MI 48601-9466
(989) 272-7257
Mailing address
1681 KINGSTON DR, SAGINAW, MI 48638-5442
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6802085990
MI
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/05/2016
Last updated
12/12/2024
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