Individual
TRACY ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1626 6TH AVE N, GREAT FALLS, MT 59401-1720
(406) 899-0143
Mailing address
1626 6TH AVE N, GREAT FALLS, MT 59401-1720
(406) 899-0143
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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