Tracy Dekelboum, LCSW
NPI #1043736317 in White City, Oregon
Provider Information
- NPI Number
- 1043736317
- Entity Type
- Individual
- Name
- Tracy Dekelboum, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Aug 18, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 8495 CRATER LAKE HWY
- City
- White City
- State
- Oregon
- ZIP Code
- 97503-3011
- Phone
- (541) 830-7423
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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