Individual
MRS. TRACI M. CONDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
12160 PEBBLEBROOKE CT, INDIANAPOLIS, IN 46236-8944
(317) 417-6420
Mailing address
12160 PEBBLEBROOKE CT, INDIANAPOLIS, IN 46236-8944
(317) 417-6420
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004227A
IN
Other
Enumeration date
05/22/2007
Last updated
02/29/2008
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