| Doctor Name: | TRACEY E GARCIA |
| NPI Number: | 1003025198 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.M.S.W. |
| License Number: | M-05191 |
| Business Practice Address: | 2010 Industrial Park Rd Espanola, NM - 875323600 |
| Business Phone Number: | 5057537395 |
| Business Fax Number: | 5057538373 |
| Mailing Address: | Po Box 158, El Centro Family Health ESPANOLA |
| State: | NM |
| Postal Code: | 875320158 |
| Phone Number: | 5057537218 |
| Fax Number: | 5057535815 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 05/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | M-05191 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |