TRACEY EAGLEEYE

Peer Specialist

Active Individual
NPI: 1871180778

Practice Address

14882 STATE ROUTE 13
Thornville, OH 43076

Phone: (740) 242-2300

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1871180778 is the National Provider Identifier for TRACEY EAGLEEYE, a Peer Specialist provider located in Thornville, OH. This NPI was enumerated on December 26, 2020.
TRACEY EAGLEEYE practices at 14882 STATE ROUTE 13, Thornville, OH 43076.

Quick Facts

NPI
1871180778
Type
Individual
Enumerated
Dec 26, 2020
Last Updated
Dec 26, 2020

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