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1710076393
CHARLES C TRACY
MINNEAPOLIS, MN
NPI
1710076393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 01754)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
-- CHARLES C TRACY LICSW
717 E RIVER PKWY
MINNEAPOLIS, MN 55455-0369
Phone number: 612-436-4800
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Mailing Address
-- CHARLES C TRACY LICSW
1281 RAYMOND AVE
SAINT PAUL, MN 55108-1817
Phone number: 651-644-4408
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