Most Relevant Information
Provider Data
| NPI Number: | 1003663477 |
| Provider Name: | TRACEY LETOURNEAU LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 29643 |
Most Important Dates
| Enumeration Date: | 05/03/2024 |
| Last Updated: | 05/03/2024 |
Provider Practice Location
114 ALVIEW TER
GLEN BURNIE
MD
210607452
Practice Location Phone/Fax
| Phone: | 4435916418 |
| Fax: |
Provider Mailing Location
114 ALVIEW TER
GLEN BURNIE
MD
210607452
Provider Mailing Phone/Fax
| Phone: | 4435916418 |
| Fax: |