Individual
TRACY RENEE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
808 MAIN ST E, MENOMONIE, WI 54751-2735
(715) 232-1116
(715) 232-5987
Mailing address
808 MAIN ST E, MENOMONIE, WI 54751-2735
(715) 232-1116
(715) 232-5987
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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