Individual
TRACY EISWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMSW
Contact information
Practice address
3915 BRISTOL HWY STE 202, JOHNSON CITY, TN 37601-1401
(423) 283-6504
Mailing address
834 HOLLY CREEK RD, GREENEVILLE, TN 37745-4561
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7272
TN
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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