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Individual
MISS TRACIE DWANNETTER WALKER
Active
Individual
MISS TRACIE DWANNETTER WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SWAAL SA 60128207
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2747G
AL
104100000X
Social Worker
SA 60128207
WA
1041C0700X
Clinical Social Worker
Primary
LW60520947
WA
Other
Enumeration date
03/08/2013
Last updated
12/11/2023
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