Individual
TRACY J BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
111 S BROAD ST, LANCASTER, OH 43130-4398
(440) 260-8300
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2103710-TRNE
OH
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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