Individual
TRACY ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
301 S ELM ST, SUITE 413, GREENSBORO, NC 27401-2696
(336) 822-2827
Mailing address
815 TOWNSEND FARM DR, BROWNS SUMMIT, NC 27214-9045
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A10329
NC
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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