Individual
AUSTIN TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CGC
Contact information
Practice address
3950 BEAUBIEN BLVD, DETROIT, MI 48201-2120
(313) 832-9264
(313) 993-8685
Mailing address
3950 BEAUBIEN BLVD, DETROIT, MI 48201-2120
(313) 832-9264
(313) 993-8685
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
348
FL
170300000X
Genetic Counselor (M.S.)
351
CT
170300000X
Genetic Counselor (M.S.)
Primary
7201000362
MI
170300000X
Genetic Counselor (M.S.)
GEN-GEN-LIC-000467
MT
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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