Individual
MR. TRACY DUANE HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
11 RED OAK RD., SHAWNEE, OK 74804-1124
(405) 365-8767
Mailing address
11 RED OAK RD., SHAWNEE, OK 74804-1124
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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