Individual
TRACI M MCCOMISKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD, CCE, CCHW, PMH-C
Contact information
Practice address
15 CROSSLEY CT, NIANTIC, CT 06357-2342
(860) 867-7541
(860) 867-7541
Mailing address
15 CROSSLEY CT, NIANTIC, CT 06357-2342
(860) 867-7541
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
188
CT
374J00000X
Doula
Primary
1
CT
Other
Enumeration date
06/27/2017
Last updated
02/11/2025
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