Most Relevant Information
Provider Data
| NPI Number: | 1003516477 |
| Provider Name: | TRACY R FISHER |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 2022047468 |
Most Important Dates
| Enumeration Date: | 03/06/2023 |
| Last Updated: | 03/06/2023 |
Provider Practice Location
1800 W 30TH ST
JOPLIN
MO
648041520
Practice Location Phone/Fax
| Phone: | 4173477850 |
| Fax: |
Provider Mailing Location
PO BOX 2526
JOPLIN
MO
648032526
Provider Mailing Phone/Fax
| Phone: | 4173477579 |
| Fax: |