Individual
TRACY LIPTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
301 W BURLINGTON, FAIRFIELD, IA 52556-3242
(641) 472-5771
(641) 472-1817
Mailing address
301 W BURLINGTON, FAIRFIELD, IA 52556-3242
(641) 472-1684
(641) 472-4609
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06611
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107314000
IOWA PLAN
IA
Enumeration date
10/20/2006
Last updated
10/13/2022
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