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1902861974
TRACY LEE WHITAKER
RICHMOND, VA
NPI
1902861974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904006097)
Enumeration Date
2006-04-20
Last Update Date
2024-05-28
Business Address
TRACY LEE WHITAKER LCSW
7001 FOREST AVE STE 302
RICHMOND, VA 23230-1726
Phone number: 804-282-2655
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Mailing Address
TRACY LEE WHITAKER LCSW
PO BOX 835
FLOYD, VA 24091-0835
Phone number: 540-745-9290
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