Individual
MS. JAIME M TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1133 N MAIN ST STE 128, LAYTON, UT 84041-4830
(801) 436-7270
Mailing address
517 W 2200 N, OGDEN, UT 84414-7024
(503) 443-0289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9103186-3501
UT
Other
Enumeration date
04/24/2012
Last updated
12/06/2019
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