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Individual
TRACY BIRKINBINE
Active
Individual
TRACY BIRKINBINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.004705
IL
101YP2500X
Professional Counselor
180.007641
IL
101YP2500X
Professional Counselor
Primary
2010003299
MO
Other
Enumeration date
01/30/2011
Last updated
01/30/2011
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