JOSHUA WARD TRACY

POCATELLO, ID
NPI1306438767
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-39746)
Enumeration Date2021-02-08
Last Update Date2021-02-08
Business Address
JOSHUA WARD TRACY LMSW
151 N 3RD AVE STE 330
POCATELLO, ID 83201-6369
Phone number: 208-244-8771
Mailing Address
JOSHUA WARD TRACY LMSW
PO BOX 4793
POCATELLO, ID 83205-4793
Phone number:
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