Individual
MS. TRACY ROXANNE AHLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
14 W CHERRY ST, ALMA, AR 72921-3905
(479) 632-0258
Mailing address
14 W CHERRY ST, ALMA, AR 72921-3905
(479) 632-0258
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1389
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186282721
—
AR
Enumeration date
05/05/2011
Last updated
05/05/2011
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