Individual
MS. TRACY ANNE CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.C.D., CCC-SLP
Contact information
Practice address
117B N MAIN ST, PICAYUNE, MS 39466-3928
(601) 798-6900
(601) 798-6975
Mailing address
117B N MAIN ST, PICAYUNE, MS 39466-3928
(601) 798-6900
(601) 798-6975
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3532
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02674391
—
MS
Enumeration date
04/07/2010
Last updated
04/25/2011
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