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Organization
TRACEY WINGOLD, LCSW, LLC
Active
Organization
TRACEY WINGOLD, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY S. WINGOLD LCSW (OWNER)
(804) 316-9694
Entity
Organization
Contact information
Practice address
3419 NOBLE AVE, RICHMOND, VA 23222-1831
(804) 316-9694
(804) 316-9694
Mailing address
3419 NOBLE AVE, RICHMOND, VA 23222-1831
(804) 316-9694
(804) 316-9694
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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