JARED TRACY

MEDFORD, OR
NPI1467831123
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OR  15138)
Enumeration Date2015-05-27
Last Update Date2015-05-27
Business Address
-- JARED TRACY CCC-SLP
1801 POPLAR DR APT 64
MEDFORD, OR 97504-4677
Phone number: 503-939-3445
Mailing Address
-- JARED TRACY CCC-SLP
1801 POPLAR DR APT 64
MEDFORD, OR 97504-4677
Phone number: 503-939-3445
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