Individual
TRACIE EYRE WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6171 W THORNTON CIR, HIGHLAND, UT 84003-3542
(801) 369-8190
Mailing address
6171 W THORNTON CIR, HIGHLAND, UT 84003-3542
(801) 369-8190
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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