Female

Tracy L. Wyman LMSW

Clinical Social Worker in Westland, MI(View on Map)

Full Name

Tracy Lynn Wyman LMSW

NPI Number

1851414445

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/09/2007

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

6801081134

Contact
Information

Purpose

Mailing
Location

Address

120 W TAMI CIR
120 W TAMI CIR

City

Westland
Westland

State

MI
MI

Postal Code

48186-9096
48186-9096

Country

US
US

Telephone Number

(734) 674-1563
(734) 674-1563

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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