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1669919338
TRACY SLACK
VISALIA, CA
NPI
1669919338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF83896)
Enumeration Date
2017-01-19
Last Update Date
2017-01-19
Business Address
Mrs. TRACY SLACK MFTintern
1220 W CENTER AVE
VISALIA, CA 93291-5911
Phone number: 559-280-5756
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Mailing Address
Mrs. TRACY SLACK MFTintern
PO BOX 523
LEMOORE, CA 93245-0523
Phone number: 559-817-7934
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