Individual
TRACIE HASELHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5815 BROADWAY AVE, GREAT BEND, KS 67530-3123
(620) 792-2544
Mailing address
5815 BROADWAY AVE, GREAT BEND, KS 67530-3123
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/18/2017
Last updated
03/18/2025
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