Individual
TRACY OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2250 PEMBROKE FALLS BLVD, PEMBROKE PINES, FL 33028-2586
(954) 247-4157
Mailing address
5846 S FLAMINGO RD # 513, COOPER CITY, FL 33330-3237
(954) 247-4157
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2951
FL
Other
Enumeration date
05/15/2015
Last updated
04/24/2018
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