MS. Kim Tracy Ross, LADC

NPI #1619646031 in Lakeville, Minnesota

Provider Information

NPI Number: 1619646031
Entity Type: Individual
Name: MS. Kim Tracy Ross, LADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LADC
Enumeration Date: Sep 9, 2021
Last Updated: Sep 9, 2021

Practice Location

Address: 7580 160TH ST W
City: Lakeville
State: Minnesota
ZIP Code: 55044-8348
Phone: (507) 273-1084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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