TRACY MICKELSON

ELMIRA, NY
NPI1639785033
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2020-09-21
Last Update Date2020-09-21
Business Address
TRACY MICKELSON CASAC
1149 SULLIVAN ST STE B
ELMIRA, NY 14901-1670
Phone number: 607-733-7661
Mailing Address
TRACY MICKELSON CASAC
1149 SULLIVAN ST STE B
ELMIRA, NY 14901-1670
Phone number: 607-733-7661
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