Tracie Raich

NPI #1164902037 in Grayson, Kentucky

Provider Information

NPI Number: 1164902037
Entity Type: Individual
Name: Tracie Raich
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Aug 20, 2018
Last Updated: Aug 20, 2018

Practice Location

Address: 361 WINDBURN LN
City: Grayson
State: Kentucky
ZIP Code: 41143-8372
Phone: (606) 922-2572

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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