TRACY PULLIAM

DECATUR, IL
NPI1639458623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149011563)
Enumeration Date2011-08-09
Last Update Date2016-09-14
Business Address
-- TRACY PULLIAM LCSW
1900 E LAKE SHORE DR SUITE 201
DECATUR, IL 62521-3824
Phone number: 217-422-0027
Mailing Address
-- TRACY PULLIAM LCSW
1508 878TH ST
MOUNT PULASKI, IL 62548-6569
Phone number: 217-840-6178
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