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Individual

DR. KATHLEEN ANN RACICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2237 TWELVE OAKS WAY, #104, WESLEY CHAPEL, FL 33544-6983
(813) 910-0919
(813) 910-8099
Mailing address
PO BOX 48095, TAMPA, FL 33646-0118
(813) 910-0919
(813) 910-8099

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
057401
FL

Other

Enumeration date
09/29/2006
Last updated
02/13/2009
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