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TRACEY BLACK
Community Health Worker
NPI: 1740893155Individual
Specialties, Licenses & Credentials
Counselor
Counselor
Code: 101Y00000X
Addiction (Substance Use Disorder) Counselor
Counselor — Addiction (Substance Use Disorder)
Code: 101YA0400X
C041740417(CA)
Day Training/Habilitation Specialist
Day Training/Habilitation Specialist
Code: 373H00000X
Community Health WorkerPrimary
Community Health Worker
Code: 172V00000X
Contact & Hours
- Address
- 1212 N CALIFORNIA ST
STOCKTON, CA 95202 - Phone
- (209) 468-8842
Quick Facts
- NPI
- 1740893155
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 4
- Locations
- 1
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