Individual
MRS. KRISTA LYNN TRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., SLP-CCC
Contact information
Practice address
333 E 2ND ST, RICHLAND CENTER, WI 53581-1914
(608) 647-6321
Mailing address
333 E 2ND ST, RICHLAND CENTER, WI 53581-1914
(608) 647-6321
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4073-154
WI
235Z00000X
Speech-Language Pathologist
9294
MN
Other
Enumeration date
06/11/2014
Last updated
07/21/2022
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