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Individual

TRACY MAE MCGEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LLP

Contact information

Practice address
233 FULTON ST E, SUITE #126, GRAND RAPIDS, MI 49503-3200
(616) 218-9903
(616) 459-9059
Mailing address
233 FULTON ST E, SUITE #126, GRAND RAPIDS, MI 49503-3200
(616) 218-9903
(616) 459-9059

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301010517
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
05/05/2008
Last updated
12/18/2012
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