MS. Tracy Lynn Petersen

NPI #1639785454 in Moline, Illinois

Provider Information

NPI Number
1639785454
Entity Type
Individual
Name
MS. Tracy Lynn Petersen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Sep 17, 2020
Last Updated
Oct 20, 2020

Practice Location

Address
4600 3RD ST
City
Moline
ZIP Code
61265-6106
Phone
(309) 779-3000

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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