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Individual
TRACY ROYA
Active
Individual
TRACY ROYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
4800201120
CA
Other
Enumeration date
01/25/2009
Last updated
05/23/2016
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