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Individual
TRACY CLARK WOODARD
Active
Individual
TRACY CLARK WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
00089
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023290
BEACON HEALTH STRATEGIES
RI
01
—
30197-6
BLUE CROSS
RI
01
—
410039
BLUE CHIP
RI
01
—
6229042
UNITED HEALTH
RI
05
—
FM49638
—
RI
Enumeration date
01/09/2007
Last updated
07/08/2007
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