Individual
MRS. TRACIE KIRSTEN LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2379 W DUSTY WREN DR, PHOENIX, AZ 85085-7031
(602) 481-9202
Mailing address
2379 W DUSTY WREN DR, PHOENIX, AZ 85085-7031
(602) 481-9202
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1855
AZ
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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