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Individual

TRACY LYNNE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
30101 HOOVER RD, WARREN, MI 48093-6572
(586) 558-6868
(586) 558-6893
Mailing address
1182 VILLA PARK DR, TROY, MI 48085-1314
(248) 219-8700

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401018137
MI

Other

Enumeration date
02/04/2020
Last updated
02/04/2020
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