Individual
MS. TRACIE NICOLE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8810 CHETWOOD TRACE DR, LOUISVILLE, KY 40291-5134
(850) 499-4227
Mailing address
2384 PLACID DR, FORT WALTON BEACH, FL 32547-2579
(850) 499-4227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
139594
KY
235Z00000X
Speech-Language Pathologist
13972
OH
235Z00000X
Speech-Language Pathologist
KY 2985
KY
235Z00000X
Speech-Language Pathologist
Primary
SA 8475
FL
Other
Enumeration date
01/24/2012
Last updated
03/29/2021
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