MRS. Tracy Fate, MA, CCC-SLP

NPI #1952819856 in Portage, Michigan

Provider Information

NPI Number
1952819856
Entity Type
Individual
Name
MRS. Tracy Fate, MA, CCC-SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
MA, CCC-SLP
Enumeration Date
Jan 14, 2018
Last Updated
Jan 14, 2018

Practice Location

Address
1908 W MILHAM AVE
ZIP Code
49024-1232
Phone
(269) 459-6212

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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