Individual
TRACY A TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 NORTH ST, RAPID CITY, SD 57701-1163
(605) 431-8258
Mailing address
125 LINN ST., P.O. BOX 44, FAIRBURN, SD 57738
(605) 431-8258
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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