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Individual

TRACEY E GARCIA

Active
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Individual

TRACEY E GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.M.S.W.

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06990
NM
1041C0700X
Clinical Social Worker
M-05191
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89109554
NM
Enumeration date
05/22/2007
Last updated
05/13/2015
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