TRACY CHARLES

PHILADELPHIA, PA
NPI1366800526
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-02-03
Last Update Date2016-02-03
Business Address
-- TRACY CHARLES BS
6037 N 11TH ST
PHILADELPHIA, PA 19141-3201
Phone number: 215-588-5071
Mailing Address
-- TRACY CHARLES BS
6037 NORTH 11TH STREET
PHILADELPHIA, PA 19141
Phone number: 215-588-5071