Individual
MRS. TRACIE CAROLE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5121 JACQUELYN LN, BARTLESVILLE, OK 74006-7723
(918) 335-3005
Mailing address
5121 JACQUELYN LN, BARTLESVILLE, OK 74006-7723
(918) 335-3005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2132
OK
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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