Kristin Nicole Tracy, LISW-SUPV

NPI #1073041935 in Mentor, Ohio

Provider Information

NPI Number: 1073041935
Entity Type: Individual
Name: Kristin Nicole Tracy, LISW-SUPV
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LISW-SUPV
Enumeration Date: May 23, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 8224 MENTOR AVE STE 208
City: Mentor
State: Ohio
ZIP Code: 44060-5743
Phone: (440) 392-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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