Individual
TRACY LYNN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
17250 N 43RD AVE STE 4, GLENDALE, AZ 85308-4032
(928) 362-2716
Mailing address
17250 N 43RD AVE STE 4, GLENDALE, AZ 85308-4032
(928) 362-2716
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-16163
AZ
Other
Enumeration date
12/30/2020
Last updated
07/23/2024
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