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1740524339
TRACEY T CARTER
LAKE CITY, FL
NPI
1740524339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 56582)
Enumeration Date
2012-11-20
Last Update Date
2012-11-20
Business Address
Mr. TRACEY T CARTER LMSW
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
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Mailing Address
Mr. TRACEY T CARTER LMSW
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
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