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Contact Information

RICHARD H TRACY, LICSW
215 MILKY WAY STREET SOUTH
COSMOS, MN56228
 Phone: 320-877-7220
 Fax: 320-877-7479
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for RICHARD H TRACY · (Male)

NPI # 1295982338
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 08/20/2008
Last updated 08/20/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 8638
  • MN Medicaid 274557000
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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