Tracy Lynn Goellner Bohannon

NPI #1003084153 in Tampa, Florida

Provider Information

NPI Number: 1003084153
Entity Type: Individual
Name: Tracy Lynn Goellner Bohannon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Feb 12, 2008
Last Updated: Feb 12, 2008

Practice Location

Address: 5707 N 22ND ST
City: Tampa
State: Florida
ZIP Code: 33610-4350
Phone: (813) 272-2878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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