Tracy Porath, BSW

NPI #1891180337 in Shawano, Wisconsin

Provider Information

NPI Number: 1891180337
Entity Type: Individual
Name: Tracy Porath, BSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: BSW
Enumeration Date: Apr 1, 2015
Last Updated: Apr 22, 2015

Practice Location

Address: 504 LAKELAND RD
City: Shawano
State: Wisconsin
ZIP Code: 54166-3836
Phone: (715) 526-4751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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