Individual
TRACY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
168 S 6TH ST, NEWARK, OH 43055-4912
(740) 899-1119
Mailing address
168 S 6TH ST, NEWARK, OH 43055-4912
(740) 899-1119
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
OH
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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