Individual
TRACEY SCOTT HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 FAYETTE ST, MARTINSVILLE, VA 24112-2517
(276) 340-4403
Mailing address
506 FAYETTE ST, MARTINSVILLE, VA 24112-2517
(276) 340-4403
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
VA
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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