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Individual
DR. TRACY CHARISSE WHARTON
Active
Individual
DR. TRACY CHARISSE WHARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MSC, MED, LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
1140807
MA
1041C0700X
Clinical Social Worker
Primary
32755
MD
1041C0700X
Clinical Social Worker
3641C
AL
1041C0700X
Clinical Social Worker
SW12849
FL
Other
Enumeration date
09/13/2017
Last updated
04/14/2026
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