Individual
TRACY WOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 MAIN AVE, LOGAN, WV 25601-3311
(304) 896-2383
Mailing address
359 BENTLEY BRANCH RD, CHAPMANVILLE, WV 25508-9317
(304) 946-5146
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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