Individual
TRACY LYNN MAESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1202 WESTRAC DRIVE SUITE 400, FARGO, ND 58103
(701) 595-3904
Mailing address
1202 WESTRAC DRIVE SUITE 400, FARGO, ND 58103
(701) 595-3904
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6620
ND
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/21/2022
Last updated
10/09/2024
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