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1992273734
TRACY ELLIS
BOUNTIFUL, UT
NPI
1992273734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 10949998-2501)
Enumeration Date
2018-11-09
Last Update Date
2018-11-09
Business Address
TRACY ELLIS PsyD
70 N MAIN ST STE 104
BOUNTIFUL, UT 84010-6115
Phone number: 801-298-5222
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Mailing Address
TRACY ELLIS PsyD
70 N MAIN ST STE 104
BOUNTIFUL, UT 84010-6115
Phone number: 801-298-5222
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