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NPI Code Detail

MEDICARE: MS. TRACY CHAVONNE SETZER LCSWA

MEDICARE:  MS. TRACY CHAVONNE SETZER  LCSWA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1699218875
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TRACY CHAVONNE SETZER LCSWA
Provider Business Mailing Address
First Line : 9501 CLIFTON MEADOW DR
Second Line :
City : MATTHEWS
State : NC
Zip : 28105-8485
Country : US
Telephone Number : 704-499-2043
Fax Number :
Provider Business Practice Location Address
First Line : 9635 SOUTHERN PINE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-5540
Country : US
Telephone Number : 704-491-3097
Fax Number : 704-625-7120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2016
Last Update Date : 02/15/2017

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Directions to “ MS. TRACY CHAVONNE SETZER LCSWA” Practice Location

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