Individual
MRS. TRACY ANN WILL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
436 TURNPIKE RD, ASHFORD, CT 06278-1038
(508) 450-6143
Mailing address
PO BOX 275, ASHFORD, CT 06278-0275
(508) 450-6143
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005754
CT
101YM0800X
Mental Health Counselor
1022913
MA
Other
Enumeration date
12/14/2005
Last updated
07/08/2007
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