TRACIE CHISLOM

GRIFFIN, GA
NPI1801354774
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QA0600X Clinic/Center, Adult Day Care
Enumeration Date2019-03-08
Last Update Date2019-03-08
Business Address
TRACIE CHISLOM
1002 W SOLOMON ST
GRIFFIN, GA 30223-2632
Phone number: 678-557-2613
Mailing Address
TRACIE CHISLOM
1002 W SOLOMON ST
GRIFFIN, GA 30223-2632
Phone number: 678-557-2613
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