Individual
LYNN M TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39 N 25TH ST E, SUPERIOR, WI 54880-5269
(715) 392-8216
Mailing address
1401 E 1ST ST, DULUTH, MN 55805-2407
(218) 730-2351
(218) 730-2363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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