Individual
TRACY SPITZACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
12450 CLOUD DR NE, BLAINE, MN 55449-6274
(763) 777-7117
(651) 401-0598
Mailing address
12450 CLOUD DR NE, BLAINE, MN 55449-6274
(763) 777-7117
(651) 401-0598
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9902
MN
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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