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Individual
MR. TRACY ALLAN PRITCHARD
Active
Individual
MR. TRACY ALLAN PRITCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.I.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I5682
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000362051
MEDICAL MUTUAL
OH
01
—
Y144529
MAGELLAN
OH
Enumeration date
11/09/2006
Last updated
07/13/2020
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