Tracey Thompson

NPI #1235857566 in Benton, Illinois

Provider Information

NPI Number
1235857566
Entity Type
Individual
Name
Tracey Thompson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Aug 22, 2022
Last Updated
Aug 22, 2022

Practice Location

Address
409 SAINT GEORGE ST
City
Benton
ZIP Code
62812-1679
Phone
(618) 435-2272

Specialties & Taxonomy Codes

Specialty
Counselor

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