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Tracy Coburn, SSW
NPI 1205140928 · on the registry since 2010
Practice
- Address
- 1140 36th St # 270
Ogden, UT 84403 - Phone
- (801) 389-6695
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah