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Individual

TRACI SCHOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
45 EXECUTIVE DR, JACKSON, TN 38305-2337
(731) 664-2083
(731) 664-1988
Mailing address
942 W FOREST AVE, JACKSON, TN 38301-3807
(731) 664-2083
(731) 664-1988

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW 4117
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1504902
TN
01
4052003
BCBS PROVIDER NUMBER
TN
01
P00010236
CIGNA RAILROAD RETIREMENT
TN
Enumeration date
08/29/2006
Last updated
09/29/2008
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