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Individual

TRACEY LYNN CRAVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
213 38TH ST NE, FORT PAYNE, AL 35967-3909
(256) 844-2992
(256) 844-2994
Mailing address
213 38TH ST NE, FORT PAYNE, AL 35967-3909
(256) 844-2992
(256) 844-2994

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2967
AL
235Z00000X
Speech-Language Pathologist
Primary
3285
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2967
ALABAMA BOARD OF EXAMINERS
AL
Enumeration date
06/13/2007
Last updated
03/09/2010
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