TRACY PORATH

SHAWANO, WI
NPI1891180337
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-04-01
Last Update Date2015-04-22
Business Address
-- TRACY PORATH BSW
504 LAKELAND RD
SHAWANO, WI 54166-3836
Phone number: 715-526-4751
Mailing Address
-- TRACY PORATH BSW
504 LAKELAND RD
SHAWANO, WI 54166-3836
Phone number: 715-526-4751