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1861700031
TRACY L SOUZA
BANGOR, ME
NPI
1861700031
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Former Name
TRACY L. TUCKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC13597)
Enumeration Date
2010-09-21
Last Update Date
2019-09-04
Business Address
TRACY L SOUZA LCSW
263 STATE ST STE 9
BANGOR, ME 04401-5461
Phone number: 207-299-3463
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Mailing Address
TRACY L SOUZA LCSW
PO BOX 1763
BANGOR, ME 04402-1763
Phone number: 207-299-3463
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