Tracey Moore
NPI #1184105090 in South Bend, Indiana
Provider Information
- NPI Number
- 1184105090
- Entity Type
- Individual
- Name
- Tracey Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Aug 28, 2018
- Last Updated
- Aug 28, 2018
Practice Location
- Address
- 415 E MADISON ST
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46617-2322
- Phone
- (574) 533-1234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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