Tracey Lynette Wilson
Tracey Lynette Wilson is a Counselor in Fairfax, Virginia. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3613 Chain Bridge Rd Ste DFairfax, VA 22030-3238
Phone: (703) 397-8163
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1952062317 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 6, 2022 |
| Last updated in NPPES | January 6, 2022 |
| Certification date | January 6, 2022 |
| Mailing address | 3611 Chain Bridge Rd Ste C, Fairfax, VA 22030-3246 |
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