Most Relevant Information
Provider Data
NPI Number: | 1003070376 |
Provider Name: | TRACY J WEILAND LCSW |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | 8598 |
Most Important Dates
Enumeration Date: | 07/15/2008 |
Last Updated: | 03/11/2022 |
Provider Practice Location
1201 N ERIE ST
LEXINGTON
NE
688501560
Practice Location Phone/Fax
Phone: | 3083245651 |
Fax: |
Provider Mailing Location
1201 N ERIE ST
LEXINGTON
NE
688501560
Provider Mailing Phone/Fax
Phone: | 3083245651 |
Fax: |