TRACEY E KOCK

LAND O LAKES, FL
NPI1558624312
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Additional Taxonomies104100000X Social Worker
(Licence: SC  007369)
Enumeration Date2012-06-18
Last Update Date2012-06-18
Business Address
Ms. TRACEY E KOCK ITDS
21113 LAKE TALIA BLVD
LAND O LAKES, FL 34638-3738
Phone number: 813-873-1936
Mailing Address
Ms. TRACEY E KOCK ITDS
21113 LAKE TALIA BLVD
LAND O LAKES, FL 34638-3738
Phone number: 813-873-1936
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