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Individual
MS. TRACY L BOUDRIE
Active
Individual
MS. TRACY L BOUDRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017135
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401015444
LLPC
MI
01
—
6401017135
LPC
MI
01
—
6803086484
REGISTERED SOCIAL SERVICE TECHNICIAN
MI
Enumeration date
03/17/2014
Last updated
09/01/2026
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