Individual
MRS. TRACI L. LOGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
615 HAMILTON ST, DOUGLAS, WY 82633-2698
(307) 358-6187
Mailing address
615 HAMILTON ST, DOUGLAS, WY 82633-2698
(307) 358-6187
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA-051
WY
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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