Individual
TRACY MICHELLE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 WILDWOOD PKWY, BALTIMORE, MD 21229-1851
(443) 271-0086
Mailing address
1016 WILDWOOD PKWY, BALTIMORE, MD 21229-1851
(443) 271-0086
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15946
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119324400
—
MD
Enumeration date
11/15/2017
Last updated
11/15/2017
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