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Individual

TRACI KRISTINE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
(877) 508-3237
Mailing address
2202 FALCON CREEK DR, FRANKLIN, TN 37067-4098
(720) 545-8160

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146008086
IL
235Z00000X
Speech-Language Pathologist
Primary
4963
TN

Other

Enumeration date
10/17/2006
Last updated
05/12/2014
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