Tracy Miksell, LISW

NPI #1316039423 in Grimes, Iowa

Provider Information

NPI Number: 1316039423
Entity Type: Individual
Name: Tracy Miksell, LISW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LISW
Enumeration Date: Sep 28, 2006
Last Updated: Jun 16, 2010

Practice Location

Address: 215 SE MAIN ST
City: Grimes
State: Iowa
ZIP Code: 50111-2192
Phone: (515) 490-1921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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