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Individual

MRS. TRACY LOUISE WHITNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A. CCC-SLP

Contact information

Practice address
1704 TEAKWOOD LN, HEBRON, KY 41048-7002
(859) 534-5811
Mailing address
1704 TEAKWOOD LN, HEBRON, KY 41048-7002
(859) 534-5811

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3376
KY

Other

Enumeration date
03/25/2009
Last updated
03/25/2009
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