Coburn, Tracy

Coburn, Tracy is an individual health care provider with primary practice located at 1140 36Th St # 270 , Ogden UT 84403-2050. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Coburn, Tracy can be contacted via phone (801) 389-6695.

Contact Information

Primary practice address
1140 36Th St # 270 Ogden UT 84403-2050
Phone: (801) 389-6695
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 5460517-3503 Utah
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1205140928
LBN Legal business name Coburn, Tracy
Credentials SSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2010
Last updated Mar 24th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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