Individual
TRACY GOODNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2108 CATON WAY SW, OLYMPIA, WA 98502-1105
(000) 000-0000
Mailing address
2108 CATON WAY SW, OLYMPIA, WA 98502-1105
(360) 292-3184
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004021
WA
Other
Enumeration date
09/17/2018
Last updated
08/02/2019
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