Individual
TRACEY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
388 OH-571, UNION CITY, OH 45390
(937) 968-3099
Mailing address
PO BOX 542, UNION CITY, OH 45390
(937) 968-3099
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1901571
OH
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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