Individual
TRACY SCHRUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1277 N RHINESTONE DR, PRESCOTT, AZ 86301-6802
(801) 376-6298
(186) 643-1878
Mailing address
333 W LEROUX ST UNIT H8, PRESCOTT, AZ 86303-4265
(801) 376-6298
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
294678-3501
UT
101Y00000X
Counselor
Primary
LCSW-16391
AZ
Other
Enumeration date
10/25/2016
Last updated
11/03/2016
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