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Individual
MS. TRACEY FRAY
Active
Individual
MS. TRACEY FRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801076909
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0995824
HEALTH PLUS OF MI
MI
01
—
1003845
MCLAREN HEALTH PLAN
MI
Enumeration date
07/12/2007
Last updated
07/12/2007
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