Individual
MRS. TRACY ANNE MCPHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
118 MAPLE AVE, BELLEFONTAINE, OH 43311-1619
(937) 599-1975
Mailing address
118 MAPLE AVE, BELLEFONTAINE, OH 43311-1619
(937) 599-1975
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1700690-TRNE
OH
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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