Tracey Anne Brubaker LCSW, CMSW

NPI 1295945707 - Social Worker - 1041C0700X

NPI Details
NPI 1295945707
Gender Female
Enumeration Date 05/23/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1300 BLYTHE BLVD
CHARLOTTE NC, 28203-5873, US
Phone (704) 372-4663
Fax (704) 339-0706
Business Location
4027 BARCLAY FOREST DR
CHARLOTTE NC, 28213-4848, US
Phone (704) 497-4774
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State North Carolina
License Number C005570
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According to our database, Mrs. Tracey Anne Brubaker LCSW, CMSW NPI is 1295945707, taxonomy code is 1041C0700X and license number is C005570, license state is located at North Carolina. Tracey Anne Brubaker LCSW, CMSW physically located at 1300 Blythe Blvd, Charlotte NC, 28203-5873. NPI Number Tracey Anne Brubaker LCSW, CMSW has the Individual type.

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1295945707 NPI number is provided on an as is basis without warranty of any kind. 1295945707 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey Anne Brubaker LCSW, CMSW are for informational purposes only.