Individual
MICHAEL W TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(801) 888-2935
Mailing address
1350 MANSE RD, PAHRUMP, NV 89048-6824
(801) 888-2935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5970944-3501
UT
1041C0700X
Clinical Social Worker
8566-C
NV
1041C0700X
Clinical Social Worker
LCSW-712
WY
Other
Enumeration date
06/06/2007
Last updated
09/26/2023
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