Individual
KELLI TRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
216 HIGH ST, ELLSWORTH, ME 04605-1742
(207) 619-1172
Mailing address
PO BOX 1022, ELLSWORTH, ME 04605-1022
(207) 619-1172
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP3981
ME
Other
Enumeration date
07/20/2023
Last updated
05/26/2026
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