Individual
MRS. TRACY JEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
8 WESTERN HILLS CIR, GREENBRIER, AR 72058-9542
(501) 336-8243
Mailing address
8 WESTERN HILLS CIR, GREENBRIER, AR 72058-9542
(501) 336-8243
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP#1383
AR
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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