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Individual

DEVIN TRACEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
900 BITNER RD APT B15, PARK CITY, UT 84098-5415
(319) 504-7467
Mailing address
900 BITNER RD APT B15, PARK CITY, UT 84098-5415

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
149.026187
IL

Other

Enumeration date
02/15/2022
Last updated
03/15/2024
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