Wickland, Tracy
Wickland, Tracy is an sole proprietor health care provider with primary practice located at 3001 4Th St , Wayne MI 48184-1358. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wickland, Tracy can be contacted via phone (734) 419-2200.Contact Information
Primary practice address
3001 4Th St
Wayne MI 48184-1358
Phone: (734) 419-2200
Fax: (734) 272-4158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801094921 | Michigan |
Profile Details
| NPI number | 1205247335 |
|---|---|
| LBN Legal business name | Wickland, Tracy |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2014 |
| Last updated | Mar 12th, 2024 - about 2 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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