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Individual
TRACEY LYNETTE RODRIGUEZ
Active
Individual
TRACEY LYNETTE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12920S
NC
101YM0800X
Mental Health Counselor
Primary
LH60161094
WA
101YM0800X
Mental Health Counselor
RC00048627
WA
Other
Enumeration date
12/11/2007
Last updated
11/15/2022
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