Individual
TRACY WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1500 N 34TH ST, SUITE 200, SUPERIOR, WI 54880-4477
(715) 392-8216
(715) 392-6055
Mailing address
1401 E 1ST ST, DULUTH, MN 55805-2407
(218) 728-4491
(218) 728-4404
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1966-226
WI
101YP2500X
Professional Counselor
Primary
5893-125
WI
Other
Enumeration date
12/09/2013
Last updated
12/14/2015
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