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Individual

DR. TRACY ANN THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
712 EMERALD DR, STORM LAKE, IA 50588-2719
(712) 730-8274
(712) 248-8655
Mailing address
712 EMERALD DR, STORM LAKE, IA 50588-2719
(712) 730-8274

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1242
IA

Other

Enumeration date
06/12/2014
Last updated
07/28/2014
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