Individual
TRACY ADKISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
662 MAIN ST, LUMBERTON, NJ 08048-5014
(609) 265-0245
(609) 265-0274
Mailing address
662 MAIN ST, LUMBERTON, NJ 08048-5014
(609) 265-0245
(609) 265-0274
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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