Individual
TRACI M DEVARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
529 WESTPORT RD, ELIZABETHTOWN, KY 42701-2923
(502) 633-1007
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
140902
KY
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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