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Individual
MR. TRACY HALL
Active
Individual
MR. TRACY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP12976
MD
101YM0800X
Mental Health Counselor
LGPC200001385
DC
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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