Tracey Michelle Mark-Boston, LCSW

NPI #1134164254 in Picayune, Mississippi

Provider Information

NPI Number
1134164254
Entity Type
Individual
Name
Tracey Michelle Mark-Boston, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LCSW
Enumeration Date
Jun 20, 2006
Last Updated
Feb 6, 2009

Practice Location

Address
703 W CANAL ST
ZIP Code
39466-3918
Phone
(601) 749-9477

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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