| Tracey Fray Lcsw | |
|
5104 N Lockwood Ridge Rd Sarasota FL 34234-3311 | |
| (810) 824-8516 | |
| (941) 343-2743 |
| Full Name | Tracey Fray Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5104 N Lockwood Ridge Rd, Sarasota, Florida |
| Authorized Official Name and Position | Tracey Fray (LCSW) |
| Authorized Official Contact | 8108248516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Fray Lcsw 29184 Orangewood St Punta Gorda FL 33982-8557 Ph: (810) 824-8516 | Tracey Fray Lcsw 5104 N Lockwood Ridge Rd Sarasota FL 34234-3311 Ph: (810) 824-8516 |
| NPI Number | 1336594258 |
|---|---|
| Provider Enumeration Date | 04/28/2016 |
| Last Update Date | 04/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336594258 | NPI | - | NPPES |
| SW 11745 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW 117445 (Florida) | Primary |
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