Tracy Lanell Eastes
Social Worker in Port Angeles, WA. Individual provider (NPI-1).
NPI number1043983000
StatusActive
Last updated in NPPESJul 27, 2021
Details
- NPI
- 1043983000
- Entity type
- Individual (NPI-1)
- Name
- Tracy Lanell Eastes
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2021
- Certification date
- Jul 27, 2021
- Last updated
- Jul 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
118 E 8th StPort Angeles, WA 98362-6129
Phone 360-457-0431
Mailing address
118 E 8th StPort Angeles, WA 98362-6129
Phone 360-457-0431
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