Tracie Self

NPI #1154624955 in Aplington, Iowa

Provider Information

NPI Number
1154624955
Entity Type
Individual
Name
Tracie Self
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Dec 16, 2010
Last Updated
Dec 16, 2010

Practice Location

Address
809 GRAY ST
State
Iowa
ZIP Code
50604-1030
Phone
(319) 346-1771

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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