Individual
MS. TRACEE LYN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 E. BROADWAY, SUITE 310, MISSOULA, MT 59802-4510
(406) 214-5133
Mailing address
101 E. BROADWAY, SUITE 310, MISSOULA, MT 59802-4510
(406) 214-5133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
42662
MT
1041C0700X
Clinical Social Worker
LW00007069
WA
Other
Enumeration date
12/28/2006
Last updated
02/27/2020
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