Martin, Tracey Leeann
Martin, Tracey Leeann is an sole proprietor health care provider with primary practice located at 9200 W 191St St Unit 6 Suite 1C, Mokena IL 60448. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martin, Tracey Leeann can be contacted via phone (708) 690-8820.Contact Information
Primary practice address
9200 W 191St St Unit 6 Suite 1C
Mokena IL 60448
Phone: (708) 690-8820
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149012166 | Illinois |
Profile Details
| NPI number | 1194932962 |
|---|---|
| LBN Legal business name | Martin, Tracey Leeann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2007 |
| Last updated | May 21st, 2018 - about 7 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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