Individual
TRACY REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
675 CLIFFSIDE DR, CLARKDALE, AZ 86324-3142
(928) 525-1599
Mailing address
675 CLIFFSIDE DR, CLARKDALE, AZ 86324-3142
(928) 525-1599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6155
AZ
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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