Tracey L Proctor BACHELOR OF ARTS

NPI 1205059425 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1205059425
Gender Female
Enumeration Date 04/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1407 SAINT ANDREW ST
SUITE 100
LA CROSSE WI, 54603-3301, US
Phone (608) 785-5908
Fax
Business Location
W7855 BROADMOOR PARK DR
HOLMEN WI, 54636-8402, US
Phone (608) 526-4450
Fax
Toxanomy
Taxonomy Code 171M00000X
License State Wisconsin
License Number 7500-120
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According to our database, Mrs. Tracey L Proctor BACHELOR OF ARTS NPI is 1205059425, taxonomy code is 171M00000X and license number is 7500-120, license state is located at Wisconsin. Tracey L Proctor BACHELOR OF ARTS physically located at 1407 Saint Andrew St, La Crosse WI, 54603-3301. NPI Number Tracey L Proctor BACHELOR OF ARTS has the Individual type.

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1205059425 NPI number is provided on an as is basis without warranty of any kind. 1205059425 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey L Proctor BACHELOR OF ARTS are for informational purposes only.