Individual
MRS. TRACY L LIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1409 CLARK ST, DES MOINES, IA 50314
(515) 643-6500
Mailing address
1409 CLARK ST, DES MOINES, IA 50314-1964
(515) 643-6500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240182
—
IA
Enumeration date
02/13/2017
Last updated
02/13/2017
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