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Individual

MRS. TRACY SPIRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ED.S, NCSP

Contact information

Practice address
325 W STATE ST, GEORGETOWN, OH 45121-1229
(937) 378-6118
Mailing address
598 BLUE CREEK RD, STOUT, OH 45684-9679
(937) 549-4373

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1315708
OH

Other

Enumeration date
01/30/2014
Last updated
01/30/2014
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