Individual
TRACY CAREN WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
34316 BLACK BASS CIR, FRUITLAND PARK, FL 34731-6304
(352) 326-8096
Mailing address
34316 BLACK BASS CIR, FRUITLAND PARK, FL 34731-6304
(352) 326-8096
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH7672
FL
Other
Enumeration date
10/19/2009
Last updated
10/19/2009
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