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Individual

TRACY LYNN BARILANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SAC-IT

Contact information

Practice address
1626 CLARENCE CT, WEST BEND, WI 53095-8533
(262) 338-8611
Mailing address
1626 CLARENCE CT, WEST BEND, WI 53095-8533
(262) 338-8611

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
15408-130
WI

Other

Enumeration date
04/28/2008
Last updated
04/28/2008
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