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Individual

TRACEY MEREDITH SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
612 HOLY TRINITY DR, COVINGTON, LA 70433
(985) 643-5630
Mailing address
650 HIGHLANDS DR, SLIDELL, LA 70458-1758
(985) 290-9014

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8402
LA

Other

Enumeration date
12/23/2020
Last updated
12/23/2020
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