Individual
TRACY LYNN MUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3265 INTERTECH DR, ANGOLA, IN 46703-7325
(260) 318-5511
Mailing address
3265 INTERTECH DR, ANGOLA, IN 46703-7325
(260) 318-5511
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
WRAPAROUND
IN
Enumeration date
03/20/2019
Last updated
03/20/2019
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