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Individual

TRACY OZZALINE GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1933 MONTANA AVE NE, WASHINGTON, DC 20002-1817
(202) 349-8900
(202) 349-7662
Mailing address
1933 MONTANA AVE NE, WASHINGTON, DC 20002-1817
(202) 349-8900
(202) 349-7662

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY1000090
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023750200
DC
Enumeration date
01/10/2011
Last updated
01/10/2011
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