Individual
NICOLE M RACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
200 TYRE AVE, NEWARK, DE 19711
(302) 454-2047
(302) 454-5442
Mailing address
200 TYRE AVE, NEWARK, DE 19711-7136
(302) 454-2047
(302) 454-5442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
O1-0000857
DE
235Z00000X
Speech-Language Pathologist
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000025173
—
DE
Enumeration date
09/18/2009
Last updated
04/04/2024
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