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MRS. TRACEY LYNN CARLOS M.S., CCC/SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1497855910

Individual Registrant:
MRS. TRACEY LYNN CARLOS M.S., CCC/SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
13200 W NEWBERRY RD #D20 NEWBERRY, FL 32669-2764 US
Tel: 352-494-4478  Fax: 352-331-5605

Contact information for business:
13200 W NEWBERRY RD #D20 NEWBERRY, FL 32669-2764 US
Tel: 352-494-4478  Fax: 352-331-5605

Registration Information:
NPI: 1497855910
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
FLSA 5433

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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