TRACY LEIGH CLACK

SANTA FE, NM
NPI1558667972
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2011-02-02
Last Update Date2011-02-02
Business Address
-- TRACY LEIGH CLACK
2504 CAMINO ENTRADA
SANTA FE, NM 87507-4851
Phone number: 505-471-5006
Mailing Address
-- TRACY LEIGH CLACK
PO BOX 28220
SANTA FE, NM 87592-8220
Phone number: 505-471-5006
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