Individual
SARAH C. TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 PIN OAK DR, LEXINGTON, SC 29073-7916
(180) 371-4344
Mailing address
460 PIN OAK DR, LEXINGTON, SC 29073-7916
(803) 714-3446
(803) 824-6189
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
17-32737
SC
235Z00000X
Speech-Language Pathologist
Primary
7345
SC
Other
Enumeration date
01/12/2018
Last updated
03/30/2022
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