Individual
TRACIE STRUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
13240 EXECUTIVE PARK TER, GERMANTOWN, MD 20874-2640
(301) 820-1551
Mailing address
PO BOX 157, CLARKSBURG, MD 20871-0157
(301) 820-1551
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCM429
MD
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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