TRACEY PROKOP

BALDWINSVILLE, NY
NPI1023385127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  006512-1)
Enumeration Date2011-11-18
Last Update Date2011-11-18
Business Address
-- TRACEY PROKOP CCC/SLP
6839 JAYHAWK CIR
BALDWINSVILLE, NY 13027-1741
Phone number: 315-638-6399
Mailing Address
-- TRACEY PROKOP CCC/SLP
6839 JAYHAWK CIR
BALDWINSVILLE, NY 13027-1741
Phone number: 315-638-6399
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