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Individual
MRS. TRACY J WAIBLE
Active
Individual
MRS. TRACY J WAIBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006088A
IN
Other
Enumeration date
09/28/2013
Last updated
04/26/2018
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