| Tracy Lewis, Lcsw Llc | |
|
189 E Us Highway 40 Troy IL 62294-2266 | |
| (618) 250-7446 | |
| (618) 505-5044 |
| Full Name | Tracy Lewis, Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 189 E Us Highway 40, Troy, Illinois |
| Authorized Official Name and Position | Tracy Lewis (PRACTICE OWNER) |
| Authorized Official Contact | 6182507446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Lewis, Lcsw Llc 1713 Cameron Ct Edwardsville IL 62025-4142 Ph: (618) 250-7446 | Tracy Lewis, Lcsw Llc 189 E Us Highway 40 Troy IL 62294-2266 Ph: (618) 250-7446 |
| NPI Number | 1093270175 |
|---|---|
| Provider Enumeration Date | 02/04/2019 |
| Last Update Date | 02/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093270175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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