TRACY L PEDERSON

WAVERLY, OH
NPI1134624943
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  161646)
Enumeration Date2018-03-26
Last Update Date2018-03-26
Business Address
TRACY L PEDERSON LCDCIII, SWA
102 DAWN LN
WAVERLY, OH 45690-9695
Phone number: 740-947-7783
Mailing Address
TRACY L PEDERSON LCDCIII, SWA
102 DAWN LN
WAVERLY, OH 45690-9695
Phone number: 740-947-7783