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Individual

MRS. TRACEY BETH BARLOW

Active
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Individual

MRS. TRACEY BETH BARLOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SOCIAL WORKER

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
094647
NY
163W00000X
Registered Nurse
614075
NY
164W00000X
Licensed Practical Nurse
213027-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01956183
NY
Enumeration date
06/26/2007
Last updated
03/21/2018
About Stedi
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  • EDI platform