TRACIE ANN WISHART

SANTA ROSA, CA
NPI1316058407
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC 39429)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
MISS TRACIE ANN WISHART MFT
341 IRWIN LN
SANTA ROSA, CA 95401-5603
Phone number: 707-360-1904
Mailing Address
MISS TRACIE ANN WISHART MFT
341 IRWIN LN
SANTA ROSA, CA 95401-5603
Phone number: 707-360-1904