Individual
TRACI LYNN BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
PO BOX 7, STORY, WY 82842-0007
(307) 439-4166
Mailing address
PO BOX 7, STORY, WY 82842-0007
(307) 439-4166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
998
WY
Other
Enumeration date
09/04/2013
Last updated
09/03/2025
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