Most Relevant Information
Provider Data
| NPI Number: | 1003827031 |
| Provider Name: | TRACEE GREGORY MSW, LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | C004553 |
Most Important Dates
| Enumeration Date: | 08/11/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
833 WAKE FOREST BUSINESS PARK
SUITE G
WAKE FOREST
NC
275877184
Practice Location Phone/Fax
| Phone: | 9195541231 |
| Fax: | 9195542406 |
Provider Mailing Location
PO BOX 1166
WAKE FOREST
NC
275881166
Provider Mailing Phone/Fax
| Phone: | 9195541231 |
| Fax: | 9195542406 |