Individual
TRACEY DAVIS GLADMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
124 N MAIN ST STE C, BERLIN, MD 21811-1062
(410) 641-4598
(410) 641-4696
Mailing address
124 N MAIN ST STE C, BERLIN, MD 21811-1062
(410) 641-4598
(410) 641-4696
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12741
MD
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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