Individual
MRS. TRACEY ANNE BUFFUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
140 POINT JUDITH RD, UNIT 44, J. TRUDEAU MEMORIAL CENTER, NARRAGANSETT, RI 02882-3451
(401) 783-6853
Mailing address
20 GREENBRIAR PL, KINGSTON, RI 02881-1733
(401) 284-3680
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP00941
RI
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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