Individual
MRS. TRACEY LEIGH DANTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
730 COLONIAL, SUITE A, BATON ROUGE, LA 70806
(225) 926-1838
(225) 926-1860
Mailing address
730 COLONIAL, SUITE A, BATON ROUGE, LA 70806
(225) 926-1838
(225) 926-1860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3266
LA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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