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1447890983
AMANDA TRACY
LARAMIE, WY
NPI
1447890983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: WY PPP-1401)
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2020-01-13
Last Update Date
2023-07-14
Business Address
AMANDA TRACY
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
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Mailing Address
AMANDA TRACY
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
Copy
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