Individual
MRS. TRACY MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
18633 W COMET AVE, WADDELL, AZ 85355-4453
(732) 222-0422
Mailing address
18633 W COMET AVE, WADDELL, AZ 85355-4453
(732) 222-0422
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP9066
AZ
Other
Enumeration date
06/21/2015
Last updated
06/21/2015
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