Individual
TRACY CREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 MARY ST, WAYCROSS, GA 31503-3823
(912) 449-7100
Mailing address
1007 MARY ST, WAYCROSS, GA 31503-3823
(912) 449-7100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC006823
GA
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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