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1528348877
TRACY NICOLE TANNER
AUSTIN, TX
NPI
1528348877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 65031)
Enumeration Date
2011-08-18
Last Update Date
2011-08-18
Business Address
-- TRACY NICOLE TANNER LPC
810 W 45TH ST
AUSTIN, TX 78751-2802
Phone number: 512-451-2242
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Mailing Address
-- TRACY NICOLE TANNER LPC
2601 PENNY LN APT 131
AUSTIN, TX 78757-7611
Phone number: 512-451-2242
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