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Individual
MRS. TRACY ELLEN CARTER
Active
Individual
MRS. TRACY ELLEN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.C.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1916
WV
101YP2500X
Professional Counselor
LC2125
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409607000
—
MD
05
—
409607001
—
MD
Enumeration date
06/16/2006
Last updated
08/30/2021
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