Organization
TRACY GEORGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY E GEORGE LCSW (CEO)
(603) 343-6352
Entity
Organization
Contact information
Practice address
45 PLEASANT AVE, PORTLAND, ME 04103-3217
(603) 343-6352
(207) 221-1219
Mailing address
41 TOPAZ PL, PORTSMOUTH, NH 03801-3583
(603) 343-6352
(207) 221-1219
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC15680
ME
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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