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Individual

MRS. TRACEY SUE LUNDY

Active
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Individual

MRS. TRACEY SUE LUNDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09927666
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101YA0400X
CO
Enumeration date
04/03/2018
Last updated
08/26/2024
About Stedi
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  • EDI platform