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
Fax: (734) 272-4158
Website:

Health care specialties

SpecialtyCodeLicense #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 8 months 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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