Individual
MS. TRACEY EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
428 S MAIN ST STE B, DAVIDSON, NC 28036-7012
(718) 838-0394
Mailing address
428 S MAIN ST STE B, DAVIDSON, NC 28036-7012
(718) 838-0394
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1439
CT
Other
Enumeration date
04/22/2021
Last updated
05/05/2021
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