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1225709405
TRACY WADE MARX
SHELBYVILLE, KY
NPI
1225709405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-09-27
Last Update Date
2021-09-27
Business Address
Dr. TRACY WADE MARX DMin, TCADC
213 MIDLAND BLVD
SHELBYVILLE, KY 40065-7791
Phone number: 502-647-0154
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Mailing Address
Dr. TRACY WADE MARX DMin, TCADC
10529 WATTERSON TRL APT 4
LOUISVILLE, KY 40299-3792
Phone number: 502-819-0628
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