Individual
TRACY OSLAKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 BLACK LAKE BLVD SW STE B, OLYMPIA, WA 98502-7208
(360) 878-8248
Mailing address
1221 MOTTMAN RD SW APT J304, TUMWATER, WA 98512-0404
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
09/02/2021
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