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Organization
SPA, INC.
Active
Organization
SPA, INC.
Active
Other names
Sensational Kids
Organization subpart
No
Provider details
NPI number
Authorized official
LORI R MALONE MCDCCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(870) 336-0021
Entity
Organization
Contact information
Practice address
3423 E HIGHLAND DR STE A, JONESBORO, AR 72401-6404
(870) 336-0021
(870) 336-0022
Mailing address
3423 E HIGHLAND DR STE A, JONESBORO, AR 72401-6404
(870) 336-0021
(870) 336-0022
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1842
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142244721
—
AR
05
—
145524721
—
AR
05
—
145699721
—
AR
05
—
145811721
—
AR
05
—
148112721
—
AR
05
—
152429721
—
AR
05
—
157521742
—
AR
05
—
157682721
—
AR
05
—
161331721
—
AR
Enumeration date
04/04/2007
Last updated
06/20/2008
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