Individual
TRACY J THORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
221 W SEMINARY ST, RICHLAND CENTER, WI 53581-2358
(608) 649-5792
(608) 647-6611
Mailing address
221 W SEMINARY ST, RICHLAND CENTER, WI 53581-2358
(608) 649-5792
(608) 647-6611
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39595300
—
WI
Enumeration date
06/05/2007
Last updated
09/23/2009
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