Individual
AMANDA TRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
67670 TRACO DR, SAINT CLAIRSVILLE, OH 43950-9375
(740) 695-2131
Mailing address
601 WILEY AVE, BARNESVILLE, OH 43713-1266
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
466080
OH
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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