KAISHA TRACY

RICHFIELD, MN
NPI1821639790
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  25914)
Enumeration Date2019-10-02
Last Update Date2023-03-17
Business Address
KAISHA TRACY LICSW
6425 NICOLLET AVE
RICHFIELD, MN 55423-1675
Phone number: 612-861-1675
Mailing Address
KAISHA TRACY LICSW
6425 NICOLLET AVE
RICHFIELD, MN 55423-1675
Phone number: 612-861-1675