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Contact Information

TRACY COBURN, SSW
1140 36TH ST # 270
OGDEN, UT84403-2050
 Phone: 801-389-6695
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for TRACY COBURN · (Female)

NPI Number 1205140928
Status Active
Credentials SSW
Entity Individual
Enumeration date 08/05/2010
Last updated 03/24/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 5460517-3503
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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