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TRACY DIANE BLACK M.S. CF-SLP

Individual Provider (NPI-1) Active

Speech-Language Pathologist,

Provider Information

NPI Number
1255869434
Provider Type
Individual Provider (NPI-1)
Credentials
M.S. CF-SLP
Status
Active

Contact & Location

Address
1609 N DIXIE AVE STE 114, ELIZABETHTOWN, KY, 427017494
Phone
(270) 827-4652

Specialties & Taxonomies

Speech-Language Pathologist, Primary License: KY #173256

All Addresses

LOCATION

1609 N DIXIE AVE STE 114

ELIZABETHTOWN, KY, 427017494

(270) 827-4652

MAILING

PO BOX 51322

BOWLING GREEN, KY, 421025622

(270) 777-9283