Dominick, Traci Ann

Dominick, Traci Ann is an individual health care provider with primary practice located at 219 Human Services Rd , Clinton SC 29325-7548. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Dominick, Traci Ann can be contacted via phone (864) 833-6500.

Contact Information

Primary practice address
219 Human Services Rd Clinton SC 29325-7548
Phone: (864) 833-6500
Fax: (864) 833-6905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1518470749
LBN Legal business name Dominick, Traci Ann
Credentials MSW, VSP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2017
Last updated Nov 9th, 2017 - about 8 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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