Individual
MS. LAURA TRACY-KINSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
509 JACKSON AVE, OCEAN SPRINGS, MS 39564-4619
(228) 875-6113
(228) 875-6113
Mailing address
PO BOX 1073, OCEAN SPRINGS, MS 39566-1073
(228) 875-6113
(228) 875-6113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C2131
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00127017
—
MS
01
—
529169
VALUE OPTIONS
MS
Enumeration date
09/26/2006
Last updated
04/15/2022
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