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Individual
TRACY K VOSDOGANES
Active
Individual
TRACY K VOSDOGANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I0004907
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192636000
MAGELLAN PROVIDER NUMBER
OH
Enumeration date
01/16/2007
Last updated
10/01/2008
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