AMANDA TRACY

LARAMIE, WY
NPI1447890983
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: WY  PPP-1401)
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2020-01-13
Last Update Date2023-07-14
Business Address
AMANDA TRACY
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
Mailing Address
AMANDA TRACY
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997