Individual
TRACY MARIE IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 MCCART AVE, FORT WORTH, TX 76115-3711
(817) 207-8700
(817) 207-8778
Mailing address
5201 MCCART AVE, FORT WORTH, TX 76115-3711
(817) 207-8700
(817) 207-8778
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
54098
TX
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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