TRACY PROVEAUX

COLUMBIA, SC
NPI1063142768
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-06-15
Last Update Date2022-06-15
Business Address
TRACY PROVEAUX
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-726-9300
Mailing Address
TRACY PROVEAUX
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-726-9300
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