Tracey Lee Waite, L.C.S.W.-C.
Social Worker, Clinical in Elkton, MD. Individual provider (NPI-1).
NPI number1508000985
StatusActive
Last updated in NPPESApr 29, 2009
Details
- NPI
- 1508000985
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tracey Lee Waite
- Credential
- L.C.S.W.-C.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2009
- Last updated
- Apr 29, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 09098 | MD | Yes |
Practice location
103 Chesapeake BlvdSuite A
Elkton, MD 21921-6391
Phone 410-392-4485 · Fax 410-392-6381
Mailing address
103 Chesapeake BlvdSuite A
Elkton, MD 21921-6391
Phone 410-392-4485 · Fax 410-392-6381
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