Provider Information for 1083099956
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TRACY WARD LCSW
Sex: Female
NPI: 1083099956
Last Updated: 2022-02-02
Certification Date: 2022-02-02
Certification Date: 2022-02-02
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1083099956 | ||||||||||||||||
| Enumeration Date | 2015-07-21 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 5472 COUNTRY VIEW DR RICHMOND, CA 94803-7300 United States Phone: 510-206-7509 | Fax: | ||||||||||||||||
| Primary Practice Address | 602 WOODLARK DR SUISUN CITY, CA 94585-2244 United States Phone: 510-206-7509 | Fax: | ||||||||||||||||
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