Individual
TRACI INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Contact information
Practice address
285 CHATEAU DR SW, HUNTSVILLE, AL 35801-6401
(866) 849-4608
Mailing address
PO BOX 62, BROWNSBORO, AL 35741-0062
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2464
AL
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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