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Individual
TRACEY A ENGLETON
Active
Individual
TRACEY A ENGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
07/02/2026
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