Individual
TRACY BJORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10740 W FAIRVIEW AVE STE 100, BOISE, ID 83713-8050
(208) 376-0191
Mailing address
10740 W FAIRVIEW AVE STE 100, BOISE, ID 83713-8050
(208) 376-0191
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-25916
ID
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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