Individual
TRACY PIZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
2410 GRAPE RD STE 6, MISHAWAKA, IN 46545-3015
(574) 217-0129
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9058
(419) 695-8010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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