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Individual
MRS. TRACIE R GARRETT
Active
Individual
MRS. TRACIE R GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0966450804
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
691
OK
Other
Enumeration date
03/22/2007
Last updated
09/22/2020
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