Individual
MS. TRACY TEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1129 MACKLIND AVE, SAINT LOUIS, MO 63110-1440
(314) 534-0200
(314) 534-7996
Mailing address
6204 JAN CT, CEDAR HILL, MO 63016-1632
(606) 854-7130
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2007-59
KY
Other
Enumeration date
10/12/2007
Last updated
05/20/2022
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