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1972153435
TRACIE LYNN FITZWATER
BECKLEY, WV
NPI
1972153435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WV BP00942079)
Enumeration Date
2019-09-17
Last Update Date
2019-09-17
Business Address
TRACIE LYNN FITZWATER
101 S EISENHOWER DR
BECKLEY, WV 25801-4929
Phone number: 204-256-7100
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Mailing Address
TRACIE LYNN FITZWATER
101 S EISENHOWER DR
BECKLEY, WV 25801-4929
Phone number: 204-256-7100
Copy
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