MS. Tracy Lynn Petersen
MS. Tracy Lynn Petersen is a Case Manager/Care Coordinator in Moline, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
4600 3rd StMoline, IL 61265-6106
Phone: (309) 779-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1639785454 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 17, 2020 |
| Last updated in NPPES | October 20, 2020 |
| Certification date | October 20, 2020 |
| Mailing address | 2200 3rd Ave, Rock Island, IL 61201-8840 |
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