Lynette Effie Tracy CDP, LICSW

NPI 1780769216 - Social Worker - 1041C0700X

NPI Details
NPI 1780769216
Gender Female
Enumeration Date 10/25/2006
Last Updated 06/10/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1601 E FOURTH PLAIN BLVD
BLDG 17
VANCOUVER WA, 98661-3753, US
Phone (360) 397-8246
Fax (360) 397-8450
Business Location
1601 E 4TH PLAIN BLVD
VANCOUVER WA, 98661-3753, US
Phone (360) 397-8246
Fax (360) 397-8450
Toxanomy
Taxonomy Code 1041C0700X
License State Washington
License Number LW 60363996
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According to our database, Ms. Lynette Effie Tracy CDP, LICSW NPI is 1780769216, taxonomy code is 1041C0700X and license number is LW 60363996, license state is located at Washington. Lynette Effie Tracy CDP, LICSW physically located at 1601 E Fourth Plain Blvd, Vancouver WA, 98661-3753. NPI Number Lynette Effie Tracy CDP, LICSW has the Individual type.

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1780769216 NPI number is provided on an as is basis without warranty of any kind. 1780769216 is maintained by the National Plan & Provider Enumeration System. The contents of Lynette Effie Tracy CDP, LICSW are for informational purposes only.