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Individual

TRACY FEKETE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
10629 MOUNT BLACKBURN AVE, LAS VEGAS, NV 89166-5052
(630) 391-1398
Mailing address
5130 DURHAM CT, DENVER, CO 80239-4146
(630) 391-1398

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14040
CA
235Z00000X
Speech-Language Pathologist
Primary
24420770
CO
235Z00000X
Speech-Language Pathologist
30653
CA

Other

Enumeration date
01/07/2020
Last updated
02/29/2024
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