TRACY R DERICKSON

TIMNATH, CO
NPI1871389114
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2025-04-15
Last Update Date2025-04-15
Business Address
TRACY R DERICKSON
1272 WOLFHOUND ST
TIMNATH, CO 80547-4488
Phone number: 970-231-0341
Mailing Address
TRACY R DERICKSON
1055 SOUTH ST
WHEATLAND, WY 82201-2949
Phone number: 307-331-7899
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