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1023279189
TRACEY L FOWL
ELIZABETHTOWN, KY
NPI
1023279189
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Former Name
TRACEY L WYATT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: KY EPSB ID: 71846)
Enumeration Date
2008-06-21
Last Update Date
2013-03-08
Business Address
Mrs. TRACEY L FOWL Masters in Sped
1651 OPTIMIST RD
ELIZABETHTOWN, KY 42701-6152
Phone number: 270-763-8011
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Mailing Address
Mrs. TRACEY L FOWL Masters in Sped
1651 OPTIMIST RD
ELIZABETHTOWN, KY 42701-6152
Phone number: 270-763-8011
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