Individual
MRS. TRACY GLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1198 GULF BREEZE PKWAY, SUITE 4, GULF BREEZE, FL 32561
(850) 934-4523
(850) 934-4520
Mailing address
1198 GULF BREEZE PKWAY, SUITE 4, GULF BREEZE, FL 32561
(850) 934-4523
(850) 934-4520
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH3507
FL
Other
Enumeration date
08/30/2006
Last updated
05/19/2022
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