Individual
TRACIE RAICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
361 WINDBURN LN, GRAYSON, KY 41143-8372
(606) 922-2572
Mailing address
1015 BELHAVEN DR, RUSSELL, KY 41169-1609
(606) 571-3684
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
KY
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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