Individual
TRACIE COPELAND-SHUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 WALNUT ST, GREENVILLE, OH 45331-1944
(937) 548-6842
Mailing address
103 E PEPPERMINT ST, UNION CITY, OH 45390-1912
(937) 423-1256
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.004812
OH
175T00000X
Peer Specialist
—
—
Other
Enumeration date
02/01/2024
Last updated
02/05/2024
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