Individual
TRACY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
3455 WILKENS AVE, BALTIMORE, MD 21229-5213
(410) 525-8601
Mailing address
3455 WILKENS AVE, BALTIMORE, MD 21229-5213
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17430
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403344200
—
MD
Enumeration date
01/13/2012
Last updated
12/15/2014
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