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Individual
TRACEY C. MIERS
Active
Individual
TRACEY C. MIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0000038174
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030241501
UNIVERA
NY
01
—
000523549003
BLUECROSS/BLUESHIELD
NY
01
—
040426031053
FIDELIS
NY
01
—
160743251-58
PRISM
NY
01
—
6211350
INDEPENDENT HEALTH
NY
Enumeration date
04/20/2006
Last updated
12/06/2011
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