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Individual

MS. TRACEY DWYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
3022 LOWER SADDLEBACK RD, PARK CITY, UT 84098-4850
(358) 009-1924
Mailing address
3022 LOWER SADDLEBACK RD, PARK CITY, UT 84098-4850
(435) 800-9192

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11948403-3902
UT
106H00000X
Marriage & Family Therapist
MFC47978
CA

Other

Enumeration date
06/27/2016
Last updated
02/13/2025
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