Ellen Marie Tracy, MFT

NPI #1629290531 in Ketchum, Idaho

Provider Information

NPI Number
1629290531
Entity Type
Individual
Name
Ellen Marie Tracy, MFT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Credential
MFT
Enumeration Date
May 2, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
110 FIFTH ST
Address 2
STE. 103
State
Idaho
ZIP Code
83353
Phone
(208) 720-7868

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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