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Individual
TRACEY W JONES
Active
Individual
TRACEY W JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7164397-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870430116009
—
UT
Enumeration date
02/04/2009
Last updated
07/25/2019
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