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Organization
EXCLUSIVE SERVICES
Active
Organization
EXCLUSIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY RAWLS MSW, LICDC 07 MSW,LICDC (CEO/FOUNDER)
(513) 827-9273
Entity
Organization
Contact information
Practice address
11134 LUSCHEK DR, BLUE ASH, OH 45241-2434
(513) 827-9273
Mailing address
11134 LUSCHEK DR, BLUE ASH, OH 45241-2434
(513) 827-9273
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
017546
OH
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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