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1699845826
TRACEY E PETERSON
JOHNSON CITY, TN
NPI
1699845826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
MRS. TRACEY E PETERSON BSW
109 WEST WATAUGA AVENUE
JOHNSON CITY, TN 37605
Phone number: 423-232-2600
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Mailing Address
MRS. TRACEY E PETERSON BSW
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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