Individual
TRACIE TREHARNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2495 MAPLEWOOD DR N STE 313, MAPLEWOOD, MN 55109-1985
(651) 770-8884
(651) 770-8151
Mailing address
2495 MAPLEWOOD DR N STE 313, MAPLEWOOD, MN 55109-1985
(651) 770-8884
(651) 770-8151
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LICC-216
MN
Other
Enumeration date
03/18/2015
Last updated
12/05/2025
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