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1548781453
TRACY CASANOVA
AUGUSTA, GA
NPI
1548781453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA PSY004139)
Enumeration Date
2017-06-30
Last Update Date
2019-09-18
Business Address
Dr. TRACY CASANOVA PhD
3405 MIKE PADGETT HWY
AUGUSTA, GA 30906
Phone number: 706-790-7085
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Mailing Address
Dr. TRACY CASANOVA PhD
3405 MIKE PADGETT HWY
AUGUSTA, GA 30906-3815
Phone number: 706-790-7085
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