Search › West Virginia › 104100000X
Tracy Wine, MSW, LGSW
NPI 1275884017 · on the registry since 2012 · sole proprietor
Practice
- Address
- 448 Leonard Ave.
Valley Healthcare System
Fairmont, WV 26554 - Phone
- (304) 296-1731
- Fax
- (304) 225-2288
- Organisation at this address
- Valley Health Care Systems
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia