Individual
TRACY L SUNDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
512 4TH ST SW, MEDFORD, MN 55049-9568
(507) 210-8695
Mailing address
512 4TH ST SW, MEDFORD, MN 55049-9568
(507) 210-8695
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305441
MN
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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