Individual
TRACEY LYNN HOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
2814 S 108TH ST, WEST ALLIS, WI 53227-3224
(414) 885-3525
Mailing address
7240 W APPLETON AVE APT 5, MILWAUKEE, WI 53216-1933
(414) 630-7245
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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