MS. Tracey E Kock, ITDS
MS. Tracey E Kock, ITDS is a Social Worker in Land O Lakes, Florida. Practices as a sole proprietor. Licensed in South Carolina.
- Licensed in
- SC
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
21113 Lake Talia BlvdLand O Lakes, FL 34638-3738
Phone: (813) 873-1936
Fax: (813) 873-8837
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|---|
| Social Worker | Taxonomy 104100000X · Licence 007369 (SC) |
Record details
| NPI number | 1558624312 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ITDS |
| Sole proprietor | Yes |
| NPI enumerated | June 18, 2012 |
| Last updated in NPPES | June 18, 2012 |
| Mailing address | 21113 Lake Talia Blvd, Land O Lakes, FL 34638-3738 |
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