Individual
TRACEY R IMSLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED. AND LEP
Contact information
Practice address
1150 SANDALWOOD DR, MURPHYS, CA 95247-9666
(949) 633-7071
Mailing address
PO BOX 806, MURPHYS, CA 95247-0806
(949) 633-7071
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2653
CA
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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