Individual
ELOISE MARIE BRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
794 BRYSON LAKE CIR, DOUGLASVILLE, GA 30134-5915
(678) 523-1578
Mailing address
794 BRYSON LAKE CIR, DOUGLASVILLE, GA 30134-5915
(678) 523-1578
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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