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Individual
MS. TRACY D. CARROLL
Active
Individual
MS. TRACY D. CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 8121
CA
Other
Enumeration date
01/02/2007
Last updated
01/04/2008
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