Individual
MS. ELLEN D TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC
Contact information
Practice address
2705 JUAN TABO NE, STE A6, ALBUQUERQUE, NM 87112
(505) 237-2322
(505) 237-1919
Mailing address
2705 JUAN TABO NE, STE A6, ALBUQUERQUE, NM 87112
(505) 237-2322
(505) 237-1919
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
672
NM
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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