Individual
TRACI ANN DOMINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, VSP
Contact information
Practice address
460 LANGDON ST, SPARTANBURG, SC 29302-1614
(864) 582-2411
Mailing address
460 LANGDON ST, SPARTANBURG, SC 29302-1614
(864) 582-2411
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
09/25/2024
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