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1851335780
HEATHER L TRACY
SEVERNA PARK, MD
NPI
1851335780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MD LC1610)
Enumeration Date
2006-06-14
Last Update Date
2007-07-08
Business Address
-- HEATHER L TRACY LCPC
650 RITCHIE HWY STE. 207
SEVERNA PARK, MD 21146-3916
Phone number: 410-315-9350
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Mailing Address
-- HEATHER L TRACY LCPC
8075 GREEN ORCHARD RD APT. 22
GLEN BURNIE, MD 21061-5137
Phone number: 240-460-9652
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