Most Relevant Information
Provider Data
| NPI Number: | 1003564279 |
| Provider Name: | TRACY MAY DELAO T-CADC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | T21116 |
Most Important Dates
| Enumeration Date: | 03/16/2022 |
| Last Updated: | 03/16/2022 |
Provider Practice Location
180 10TH ST SE STE 201
LE MARS
IA
510312557
Practice Location Phone/Fax
| Phone: | 7125464624 |
| Fax: | 7125469395 |
Provider Mailing Location
180 10TH ST SE STE 201
LE MARS
IA
510312557
Provider Mailing Phone/Fax
| Phone: | 7125464624 |
| Fax: | 7125469395 |