Individual
TRACY AGBOR EYONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
2027 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7007
(202) 800-4387
Mailing address
2027 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7007
(202) 800-4387
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LG50081655
DC
1041C0700X
Clinical Social Worker
Primary
LC50081983
DC
Other
Enumeration date
11/15/2016
Last updated
06/01/2023
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