MISS Traci Lynne Wardlow, CDCA

NPI #1083366116 in Georgetown, Ohio

Provider Information

NPI Number
1083366116
Entity Type
Individual
Name
MISS Traci Lynne Wardlow, CDCA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CDCA
Enumeration Date
Jan 20, 2022
Last Updated
Jan 20, 2022

Practice Location

Address
421 HOME ST
State
Ohio
ZIP Code
45121-1407
Phone
(937) 416-7721

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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