Individual
MRS. TRACY RAE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
24 SALT POND ROAD, SUITE H1, WAKEFIELD, RI 02879
(401) 789-3694
(401) 789-3748
Mailing address
24 SALT POND ROAD, SUITE H1, WAKEFIELD, RI 02879
(401) 789-3694
(401) 789-3748
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01003
RI
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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