TRACEY WENGER

SIOUX CITY, IA
NPI1821450941
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA  10147)
Enumeration Date2016-03-28
Last Update Date2016-03-28
Business Address
-- TRACEY WENGER CADC
800 5TH ST
SIOUX CITY, IA 51101-1317
Phone number: 712-234-2365
Mailing Address
-- TRACEY WENGER CADC
800 5TH ST
SIOUX CITY, IA 51101-1317
Phone number: 712-234-2365
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