Traci Poe, MA, MCCLC
Community Health Worker in Mansfield, TX. Individual provider (NPI-1).
NPI number1467011056
StatusActive
Last updated in NPPESJun 7, 2019
Details
- NPI
- 1467011056
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Traci Poe
- Credential
- MA, MCCLC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2019
- Last updated
- Jun 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
1716 Griffin LnMansfield, TX 76063-8560
Phone 817-965-5886 · Fax 866-929-1927
Mailing address
6 Kevin CtMansfield, TX 76063-4861
Phone 682-472-7807 · Fax 866-929-1927
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