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Organization
TRACY HORN & ASSOC LLC
Active
Organization
TRACY HORN & ASSOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY HORN LCSW (OWNER)
(727) 308-8203
Entity
Organization
Contact information
Practice address
1700 PARK ST N, ST PETERSBURG, FL 33710-4356
(727) 308-8203
Mailing address
1700 PARK ST N, ST PETERSBURG, FL 33710-4356
(727) 308-8203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
NO OTHER NUMBERS MEDICARE PENDING
FL
Enumeration date
07/10/2018
Last updated
07/10/2018
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