Individual
TRACIE SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
809 GRAY ST, APLINGTON, IA 50604-1030
(319) 346-1771
Mailing address
809 GRAY ST, APLINGTON, IA 50604-1030
(319) 346-1771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001281
IA
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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