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Tracy J Longtine, LICENSEDPROFESSIONA
Professional Counselor in Appleton, Wisconsin
NPI 1770570434

Tracy J Longtine is a Professional Counselor based in Appleton, WI and is specialized in Professional. Tracy J Longtine practices in Appleton, WI and has the professional credentials of LICENSEDPROFESSIONA. The NPI Number for Tracy J Longtine is 1770570434 and holds a License No. 3279125 (Wisconsin).

The current practice location address for Tracy J Longtine is 1531 S Madison St, Appleton, WI and can be reached out via phone at 920-730-4411. You can also correspond with Tracy J Longtine through the mailing address at 1531 S MADISON ST, APPLETON, WI - 54915-1800 (mailing address contact number: 920-730-4411).

Location: 1531 S Madison St, Appleton, WI, 54915-1800
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Provider Profile Details
NPI Number
1770570434
Provider Name
Tracy J Longtine
Credential
LICENSEDPROFESSIONA
Provider Entity Type
Individual
Gender
Female
Address
1531 S Madison St, Appleton, WI, 54915-1800
Phone Number
920-730-4411
Fax Number
Provider Enumeration Date
09/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40973400 05 WI
institution
Provider Business Practice Location Address Details
Address
1531 S Madison St
City
State
Zip
54915-1800
Phone Number
920-730-4411
Fax Number
person
Provider Business Mailing Address Details
Address
1531 S Madison St
City
State
Zip
54915-1800
Phone Number
920-730-4411
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3279125 (Wisconsin)
Definition
Definition to come...
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