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Individual

GALE ELIZABETH TRACER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC/SLP

Contact information

Practice address
31741 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675-6722
(949) 248-8855
(949) 667-0205
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(800) 944-9782
(610) 438-2046

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP3262
CA

Other

Enumeration date
10/04/2012
Last updated
10/04/2012
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