Tracy Burnham, L.C.S.W.

NPI #1386196830 in Centerville, Utah

Provider Information

NPI Number: 1386196830
Entity Type: Individual
Name: Tracy Burnham, L.C.S.W.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: L.C.S.W.
Enumeration Date: Nov 1, 2016
Last Updated: Nov 1, 2016

Practice Location

Address: 94 E PAGES LN
Address 2: SUITE A
City: Centerville
State: Utah
ZIP Code: 84014-2216
Phone: (801) 294-0578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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