Individual
TRACY LYNN GENOVESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4605 TUTU PARK MALL STE 207, ST THOMAS, VI 00802
(340) 775-3700
Mailing address
6501 RED HOOK PLAZA BOX 664, SUITE 201, ST. THOMAS, VI 00802
(630) 999-0266
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
041401522
IL
Other
Enumeration date
07/08/2020
Last updated
08/06/2021
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