TRACY SELVAGE

PIKETON, OH
NPI1528579026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  150092)
Enumeration Date2017-10-24
Last Update Date2017-10-24
Business Address
TRACY SELVAGE CDCA
15221 STATE ROUTE 772
PIKETON, OH 45661-9062
Phone number: 740-493-4260
Mailing Address
TRACY SELVAGE CDCA
1549 JOHNSON HILL RD
WAVERLY, OH 45690-8954
Phone number: 740-947-1782
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