Provider Information for 1154041242
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TRACY L CALATO RMHCI, RMFTI
Sex: Female
NPI: 1154041242
Last Updated: 2022-08-30
Certification Date: 2022-08-26
Certification Date: 2022-08-26
Details
| Name | Value | ||||||||||||
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| NPI | 1154041242 | ||||||||||||
| Enumeration Date | 2022-08-30 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2699 MEETING PLACE ORLANDO, FL 32814 United States Phone: 407-758-5987 | Fax: | ||||||||||||
| Primary Practice Address | 1928 PROCTOR AVE ORLANDO, FL 32817-4200 United States Phone: 407-495-1199 | Fax: | ||||||||||||
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