MRS. Tracy Van Ert

NPI #1053736140 in Shawano, Wisconsin

Provider Information

NPI Number: 1053736140
Entity Type: Individual
Name: MRS. Tracy Van Ert
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Feb 26, 2014
Last Updated: Feb 26, 2014

Practice Location

Address: 504 LAKELAND RD
City: Shawano
State: Wisconsin
ZIP Code: 54166-3836
Phone: (715) 526-5547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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