Individual
DR. TRACY ANNETTE BECOAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMIN
Contact information
Practice address
1989 N 63RD ST, SUITE 300, PHILADELPHIA, PA 19151-2607
(215) 384-6651
(215) 878-8988
Mailing address
1989 N 63RD ST, SUITE 300, PHILADELPHIA, PA 19151-2607
(215) 384-6651
(215) 878-8988
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW011213L
PA
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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