TRACY BLACK

JOPLIN, MO
NPI1235404757
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-03-16
Last Update Date2012-03-16
Business Address
-- TRACY BLACK
3230 WISCONSIN AVE
JOPLIN, MO 64804-4029
Phone number: 417-347-7850
Mailing Address
-- TRACY BLACK
3230 WISCONSIN AVE
JOPLIN, MO 64804-4029
Phone number: 417-347-7850
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