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1497174577
TRACY PHELPS
COSTA MESA, CA
NPI
1497174577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 21899)
Enumeration Date
2014-04-15
Last Update Date
2014-04-15
Business Address
-- TRACY PHELPS
2164 CANYON DR APT J
COSTA MESA, CA 92627-4899
Phone number: 949-394-3644
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Mailing Address
-- TRACY PHELPS
2164 CANYON DR APT J
COSTA MESA, CA 92627-4899
Phone number:
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