Individual
KATHERINE E TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
34607 F50 RD, CRAWFORD, CO 81415-8911
(419) 707-2348
Mailing address
34607 F50 RD, CRAWFORD, CO 81415-8911
(419) 707-2348
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0004079
CO
Other
Enumeration date
04/27/2022
Last updated
12/17/2024
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