Individual
TRACEY HOCEVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 W ASPEN COVE CIR, MERIDIAN, ID 83642-6519
(208) 794-8848
Mailing address
2325 W ASPEN COVE CIR, MERIDIAN, ID 83642-6519
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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