TRACY PULLIAM, LCSW

Social Worker - Clinical

Active Individual
NPI: 1639458623

Practice Address

1900 E LAKE SHORE DR
SUITE 201
Decatur, IL 62521

Phone: (217) 422-0027

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 149011563 (IL)

Frequently Asked Questions

NPI 1639458623 is the National Provider Identifier for TRACY PULLIAM, LCSW, a Social Worker - Clinical provider located in Decatur, IL. This NPI was enumerated on August 9, 2011.
TRACY PULLIAM, LCSW practices at 1900 E LAKE SHORE DR, SUITE 201, Decatur, IL 62521.

Quick Facts

NPI
1639458623
Type
Individual
Enumerated
Aug 9, 2011
Last Updated
Sep 14, 2016

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