Individual
MRS. TRACEY K SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Contact information
Practice address
3604 CLARKSTON RD, CLARKSTON, MI 48348-5215
(248) 814-9300
Mailing address
11294 FORESTVIEW CT, WASHINGTON, MI 48094-3779
(586) 992-9950
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12016699
MI
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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