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Individual
MRS. TRACEY L SARRIS
Active
Individual
MRS. TRACEY L SARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002247A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200612420
—
IN
Enumeration date
12/13/2006
Last updated
05/09/2008
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