Hattie M Tracy, LISW, LCDCIII

NPI #1043435944 in Rootstown, Ohio

Provider Information

NPI Number: 1043435944
Entity Type: Individual
Name: Hattie M Tracy, LISW, LCDCIII
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LISW, LCDCIII
Enumeration Date: Apr 16, 2007
Last Updated: Feb 7, 2012

Practice Location

Address: 4209 STATE ROUTE 44
City: Rootstown
State: Ohio
ZIP Code: 44272-9698
Phone: (330) 325-6697

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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