Tracey Boubacar's National Provider Identifier (NPI) Details
Tracey Boubacar, MS,MSW,LCSW
NPI: 1922330968
Enumeration Date: 2010-02-01
Last updated: 2013-06-05
Sole Proprietor: NO
Status: active
Postal Address: 284 EXECUTIVE PARK DR, SUITE100, CONCORD, NC
Phone: 704-939-1100
Primary Practice Address: 405 NC HWY 65, REIDSVILLE, NC
Practice's phone: 336-342-8316