Individual
TRACIE SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 SOMERDALE RD, VOORHEES, NJ 08043-1901
(609) 405-8737
Mailing address
108 SOMERDALE RD, VOORHEES, NJ 08043-1901
(856) 912-1928
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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