Individual
MRS. TRACI CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP TSHH
Contact information
Practice address
14 RICHARDS RD, BROOKFIELD, CT 06804-1221
(914) 589-4655
Mailing address
14 RICHARDS RD, BROOKFIELD, CT 06804-1221
(914) 589-4655
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
017424
NY
Other
Enumeration date
11/19/2008
Last updated
09/28/2012
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