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Provider Information for 1134343197


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Mrs. TRACY LYNNE TURNER LICSW


Sex: Female

NPI: 1134343197
Last Updated: 2008-08-04
Certification Date:

Details

NameValue
NPI1134343197
Enumeration Date2007-04-12
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 48 PARHAM RD
TYNGSBORO, MA 01879-1235
United States

Phone: | Fax:
 
Primary Practice Address 585 MERRIMACK ST.
LOWELL, MA 01852-1201
United States

Phone: 978-937-7900 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalMA1028965