Individual
TRACIE LOUISE LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
440 N PAIUTE DR, CEDAR CITY, UT 84721-6181
(435) 586-1112
(435) 867-1516
Mailing address
2197 E 575 N, ST GEORGE, UT 84790-8104
(435) 632-9501
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
317312-3503
UT
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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