Tracey A. Botham, LCSW-R

NPI #1003912700 in Dunkirk, New York

Provider Information

NPI Number: 1003912700
Entity Type: Individual
Name: Tracey A. Botham, LCSW-R
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW-R
Enumeration Date: Sep 16, 2006
Last Updated: Oct 20, 2020

Practice Location

Address: 425 MAIN ST.
City: Dunkirk
State: New York
ZIP Code: 14048
Phone: (716) 366-3533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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