Most Relevant Information
Provider Data
| NPI Number: | 1003404179 |
| Provider Name: | AMY LYNN TRACY LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | MSW009682 |
Most Important Dates
| Enumeration Date: | 01/05/2021 |
| Last Updated: | 01/05/2021 |
Provider Practice Location
3901 DARIEN HWY APT F12
BRUNSWICK
GA
315252503
Practice Location Phone/Fax
| Phone: | 4195151303 |
| Fax: |
Provider Mailing Location
2927 DEMERE RD
SAINT SIMONS ISLAND
GA
315221620
Provider Mailing Phone/Fax
| Phone: | 9126381999 |
| Fax: |