Individual
TRACY CAVEL AYDLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4805 GARRISON BLVD, BALTIMORE, MD 21215-5695
(443) 869-2600
Mailing address
537 BRIGHTON PL, ESSEX, MD 21221-1745
(443) 414-2800
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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