TRACIE R JACKSON

COVINGTON, KY
NPI1982494522
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2025-05-07
Last Update Date2025-05-07
Business Address
TRACIE R JACKSON PRS
9186 BLUERIDGE DRIVE
COVINGTON, KY 41017
Phone number: 859-912-5618
Mailing Address
TRACIE R JACKSON PRS
9186 BLUERIDGE DRIVE
COVINGTON, KY 41017
Phone number: 859-912-5618