Individual
TRACIE WOLFY LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 2ND ST NE STE 100, DEVILS LAKE, ND 58301-3256
(701) 662-8424
Mailing address
PO BOX 2015, JAMESTOWN, ND 58402-2015
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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