Organization
TRACY RELATIONAL INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROBERT TRACY LISW (OWNER/THERAPIST)
(712) 310-7116
Entity
Organization
Contact information
Practice address
25 S 15TH ST, SUITE 2, COUNCIL BLUFFS, IA 51501-3900
(712) 310-7116
Mailing address
25 S 15TH ST, SUITE 2, COUNCIL BLUFFS, IA 51501-3900
(712) 310-7116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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