Individual
TRACY CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
431 FAIRMONT PLACE, FORT WAYNE, IN 46808-1116
(418) 934-1600
(443) 640-4358
Mailing address
1208 E CHURCHVILLE RD, STE 300, BEL AIR, MD 21014-3442
(410) 893-4600
(443) 640-4358
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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