Individual
MS. TRACY MITCHELL PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1527 STAR STELLA DR, ODENTON, MD 21113-3705
(410) 674-8439
Mailing address
1596 WALL DR, PASADENA, MD 21122-3238
(443) 618-9217
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2855
MD
Other
Enumeration date
03/21/2007
Last updated
08/31/2021
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