| Tracy W Corbett, Lcsw, Pc | |
|
1013 Cherry Creek Dr Valdosta GA 31605-5922 | |
| (229) 460-0663 | |
| Not Available |
| Full Name | Tracy W Corbett, Lcsw, Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1013 Cherry Creek Dr, Valdosta, Georgia |
| Authorized Official Name and Position | Tracy Woske Corbett (CEO) |
| Authorized Official Contact | 2294600663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy W Corbett, Lcsw, Pc 1013 Cherry Creek Dr Valdosta GA 31605-5922 Ph: (229) 460-0663 | Tracy W Corbett, Lcsw, Pc 1013 Cherry Creek Dr Valdosta GA 31605-5922 Ph: (229) 460-0663 |
| NPI Number | 1528323334 |
|---|---|
| Provider Enumeration Date | 07/08/2012 |
| Last Update Date | 07/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528323334 | NPI | - | NPPES |
| 11733902 | Other | GA | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW002825 (Georgia) | Primary |
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