Individual
MS. TRACY WEATHERFORD MCNEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4820 LAKE ST, LAKE CHARLES, LA 70605-6010
(337) 310-7378
(337) 310-7382
Mailing address
PO BOX 4591, LAKE CHARLES, LA 70606-4591
(337) 310-7378
(337) 310-7382
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4059
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4059
LICENSE-SOCIAL WORKER
LA
Enumeration date
03/12/2007
Last updated
07/08/2007
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