Tracy L. Ross-Fares, LCSW, C-ASWCM

NPI #1568425627 in Mayport, Florida

Provider Information

NPI Number
1568425627
Entity Type
Individual
Name
Tracy L. Ross-Fares, LCSW, C-ASWCM
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
LCSW, C-ASWCM
Enumeration Date
Apr 10, 2006
Last Updated
Apr 22, 2013

Practice Location

Address
2104 MASSEY AVENUE
Address 2
NAVAL STATION, MAYPORT
State
Florida
ZIP Code
32228
Phone
(904) 270-4294

Specialties & Taxonomy Codes

Specialty
Social Worker

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