Individual
TRACEY POFFENROTH PRATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
208 PASEO DEL PUEBLO SUR UNIT 104, TAOS, NM 87571-5931
(505) 514-2588
Mailing address
PO BOX 3861, TAOS, NM 87571-3861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3261
NM
Other
Enumeration date
01/11/2012
Last updated
12/22/2023
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