Organization
WOMEN ON THE MOVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY RAE SCHRUNK LCSW (MANAGER)
(801) 376-6298
Entity
Organization
Contact information
Practice address
143 N MCCORMICK ST, SUITE 103, PRESCOTT, AZ 86301-2723
(801) 376-6298
(186) 643-1878
Mailing address
333 W LEROUX ST UNIT H8, PRESCOTT, AZ 86303-4265
(801) 376-6298
(186) 643-1878
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-16391
AZ
Other
Enumeration date
11/02/2016
Last updated
03/13/2017
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