Individual
MS. TRACEY ANN TRAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2900 W 8TH ST APT 11G, BROOKLYN, NY 11224-3340
(347) 463-7408
Mailing address
2900 W 8TH ST APT 11G, BROOKLYN, NY 11224-3340
(347) 463-7408
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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