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1821650037
TAMMY M BACA
FORT BRAGG, NC
NPI
1821650037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C012303)
Enumeration Date
2019-07-08
Last Update Date
2019-07-08
Business Address
TAMMY M BACA
WOMACK ARMY HOSPITAL 2817 REILLY RD
FORT BRAGG, NC 28310-0001
Phone number: 910-907-6000
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Mailing Address
TAMMY M BACA
5 BRAVE TRL
CAMERON, NC 28326-6280
Phone number: 805-844-9575
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