Individual
MS. TAMARA TRAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.B.S.W.
Contact information
Practice address
12217 TWIN CREEK RD, MANCHACA, TX 78652-3706
(512) 461-8671
Mailing address
12217 TWIN CREEK RD, MANCHACA, TX 78652-3706
(512) 461-8671
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S21249
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182337901
—
TX
Enumeration date
03/14/2007
Last updated
09/02/2011
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