Samuel, Tracy
Samuel, Tracy is an sole proprietor health care provider with primary practice located at 7000 Carroll Ave Suite 200, Takoma Park MD 20912-4437. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Samuel, Tracy can be contacted via phone (240) 381-9705.Contact Information
Primary practice address
7000 Carroll Ave Suite 200
Takoma Park MD 20912-4437
Phone: (240) 381-9705
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 13543 | Maryland |
Profile Details
| NPI number | 1598076937 |
|---|---|
| LBN Legal business name | Samuel, Tracy |
| Credentials | LCSW-C, LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2010 |
| Last updated | Jan 4th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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