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1194012674
BRENDA ANN TRACY
FORT COLLINS, CO
NPI
1194012674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO 4814)
Enumeration Date
2011-07-05
Last Update Date
2013-08-07
Business Address
-- BRENDA ANN TRACY LPC
219 W MAGNOLIA ST
FORT COLLINS, CO 80521-2811
Phone number: 307-460-0385
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Mailing Address
-- BRENDA ANN TRACY LPC
1910 COUNTY ROAD 82E
LIVERMORE, CO 80536-9213
Phone number: 307-460-0385
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