Individual
STACEY ARRUDA-TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW00871
RI
1041C0700X
Clinical Social Worker
Primary
ISW01891
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30343
BLUE CROSS CRISIS
RI
05
—
SA56205
—
RI
Enumeration date
01/31/2007
Last updated
04/08/2009
Update your record
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