Individual
TRACY HERMANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 W MAIN ST STE 200, COLLINSVILLE, IL 62234-3055
(618) 974-9054
(618) 551-7820
Mailing address
502 W MAIN ST STE 200, COLLINSVILLE, IL 62234-3055
(618) 974-9054
(618) 551-7820
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/15/2016
Last updated
09/28/2021
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