Individual
TRACIE DANA FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APC
Contact information
Practice address
1835 N 1120 W, PROVO, UT 84604-1180
(801) 592-7620
Mailing address
1835 N 1120 W, PROVO, UT 84604-1180
(801) 592-7620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7183399-6009
UT
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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