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Organization
TRACEY FRAY LCSW
Active
Organization
TRACEY FRAY LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY FRAY (LCSW)
(810) 824-8516
Entity
Organization
Contact information
Practice address
5104 N LOCKWOOD RIDGE RD, SARASOTA, FL 34234-3311
(810) 824-8516
(941) 343-2743
Mailing address
29184 ORANGEWOOD ST, PUNTA GORDA, FL 33982-8557
(810) 824-8516
(941) 343-2743
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 117445
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW 11745
LICENSE
FL
Enumeration date
04/28/2016
Last updated
04/28/2016
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