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1154982809
TRACI ELIZABETH HETTIE
SAN ANTONIO, TX
NPI
1154982809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 18192)
Enumeration Date
2019-06-24
Last Update Date
2019-06-24
Business Address
TRACI ELIZABETH HETTIE MA CCC/SLP
22211 IH 10 W STE 1206
SAN ANTONIO, TX 78257-1742
Phone number: 210-888-0368
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Mailing Address
TRACI ELIZABETH HETTIE MA CCC/SLP
254 ENGLISH OAKS CIR
BOERNE, TX 78006-1719
Phone number: 210-264-5643
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