# TRACY CLARK WOODARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1891844098
- **Gender:** F
- **Credential:** MS, LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 00089 | RI | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 07/08/2007

## 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 |