Individual
TRACY H SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5282 S COMMERCE DR STE D110, MURRAY, UT 84107-5324
(385) 881-0406
Mailing address
5282 S COMMERCE DR STE D110, MURRAY, UT 84107-5324
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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