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Individual
TRACEY APPLEGET
Active
Individual
TRACEY APPLEGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9339
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004041000
—
CT
05
—
008003745
—
CT
01
—
008063217
APPLEGET MEDICAID
CT
Enumeration date
12/28/2015
Last updated
01/25/2017
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