Individual
PATRICE TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(301) 618-5500
Mailing address
2101 E JEFFERSON ST # 6W, ROCKVILLE, MD 20852-4908
(301) 816-5853
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP4989
MD
Other
Enumeration date
12/10/2014
Last updated
09/15/2021
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