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Individual

TRACY TRAUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
407 LINCOLNWAY, VALPARAISO, IN 46383-5483
(219) 237-9545
Mailing address
407 LINCOLNWAY, VALPARAISO, IN 46383-5483
(219) 237-9545

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
05/04/2017
Last updated
05/04/2017
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