Individual
MRS. TRACY SUSAN VANCUYCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, SPEECH PATHOLOGY
Contact information
Practice address
4189 E SEASONS CIR, GILBERT, AZ 85297-6612
(480) 272-7256
Mailing address
4189 E SEASONS CIR, GILBERT, AZ 85297-6612
(480) 272-7256
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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