Most Relevant Information
Provider Data
| NPI Number: | 1003060278 |
| Provider Name: | TAMARA LYNN TRACY LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6801089920 |
Most Important Dates
| Enumeration Date: | 11/13/2008 |
| Last Updated: | 03/15/2021 |
Provider Practice Location
31275 NORTHWESTERN HWY STE 206
FARMINGTON HILLS
MI
483342579
Practice Location Phone/Fax
| Phone: | 2487163770 |
| Fax: |
Provider Mailing Location
31275 NORTHWESTERN HWY STE 206
FARMINGTON HILLS
MI
483342579
Provider Mailing Phone/Fax
| Phone: | 2487163770 |
| Fax: |