Individual
TRACY STILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 MORGAN BLVD, VALPARAISO, IN 46383-4836
(219) 525-1737
Mailing address
1605 POTAWATOMI LN APT 2, VALPARAISO, IN 46383-7042
(812) 841-9116
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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