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1366800526
TRACY CHARLES
PHILADELPHIA, PA
NPI
1366800526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-02-03
Last Update Date
2016-02-03
Business Address
-- TRACY CHARLES BS
6037 N 11TH ST
PHILADELPHIA, PA 19141-3201
Phone number: 215-588-5071
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Mailing Address
-- TRACY CHARLES BS
6037 NORTH 11TH STREET
PHILADELPHIA, PA 19141
Phone number: 215-588-5071
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