Tracie Vinette Mathis

NPI #1760901219 in Manor, Texas

Provider Information

NPI Number: 1760901219
Entity Type: Individual
Name: Tracie Vinette Mathis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Sep 15, 2017
Last Updated: Sep 15, 2017

Practice Location

Address: 13524 ULYSSES S GRANT ST
City: Manor
State: Texas
ZIP Code: 78653-3941
Phone: (512) 542-4543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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