Agnew, Traci
Agnew, Traci is an individual health care provider with primary practice located at 175 Gwinnett Dr , Lawrenceville GA 30045-8444. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Agnew, Traci can be contacted via phone (770) 339-5070.Contact Information
Primary practice address
175 Gwinnett Dr
Lawrenceville GA 30045-8444
Phone: (770) 339-5070
Fax: (678) 377-3770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1114080025 |
|---|---|
| LBN Legal business name | Agnew, Traci |
| Credentials | MA, MHP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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