Wine, Tracy Ann

Wine, Tracy Ann is an sole proprietor health care provider with primary practice located at 448 Leonard Ave. Valley Healthcare System, Fairmont WV 26554. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wine, Tracy Ann can be contacted via phone (304) 296-1731.

Contact Information

Primary practice address
448 Leonard Ave. Valley Healthcare System Fairmont WV 26554
Phone: (304) 296-1731
Fax: (304) 225-2288
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X BP00944095 West Virginia

Profile Details

NPI number 1275884017
LBN Legal business name Wine, Tracy Ann
Credentials MSW, LGSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2012
Last updated Sep 19th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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