Individual
TRACEY S COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 W OLD 101 RD, LIBERTY, IN 47353-9392
(513) 720-3056
Mailing address
2345 W OLD 101 RD, LIBERTY, IN 47353-9392
(513) 720-3056
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0008550
OH
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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