Individual
TRACEY CORLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
681 CLARKSON AVE, BROOKLYN, NY 11203-2125
(718) 221-7385
Mailing address
681 CLARKSON AVE, BROOKLYN, NY 11203-2125
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
473799-1
NY
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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