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1942060017
TRACY LEE WELLMAN
DAYTONA BEACH, FL
NPI
1942060017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW16886)
Enumeration Date
2024-03-19
Last Update Date
2024-03-19
Business Address
TRACY LEE WELLMAN LCSW
1620 MASON AVE STE C
DAYTONA BEACH, FL 32117-5513
Phone number: 386-366-6600
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Mailing Address
TRACY LEE WELLMAN LCSW
228 FOUNTAIN LAKE BLVD
DAYTONA BEACH, FL 32117-3833
Phone number: 407-748-9650
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