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Contact Information

TRACY A WINE, MSW, LGSW
448 LEONARD AVE.
VALLEY HEALTHCARE SYSTEM
FAIRMONT, WV26554
 Phone: 304-296-1731
 Fax: 304-225-2288
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for TRACY A WINE · (Female)

NPI # 1275884017
Status Active
Credentials MSW, LGSW
Entity Individual
Enumeration date 09/19/2012
Last updated 09/19/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • WV License # BP00944095
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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