TRACY DIANE BLACK

ELIZABETHTOWN, KY
NPI1255869434
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: KY  173256)
Enumeration Date2017-06-01
Last Update Date2022-07-21
Business Address
TRACY DIANE BLACK M.S. CF-SLP
1609 N DIXIE AVE STE 114
ELIZABETHTOWN, KY 42701-7494
Phone number: 270-827-4652
Mailing Address
TRACY DIANE BLACK M.S. CF-SLP
PO BOX 51322
BOWLING GREEN, KY 42102-5622
Phone number: 270-777-9283
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