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Individual
DR. TRACY C BRYAN
Active
Individual
DR. TRACY C BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60837078
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604570488
UNIFIED BUSINESS IDENTIFIER NUMBER
WA
Enumeration date
07/20/2015
Last updated
03/24/2020
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