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Organization
ARKANSAS SPECIAL SERVICES
Active
Organization
ARKANSAS SPECIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEE LYNN RAINEY M.S.CCC-SLP (SPEECH LANGUAGE PATHOLOGIST/OWNER)
(501) 786-9181
Entity
Organization
Contact information
Practice address
5710 WARDEN RD STE 5, SHERWOOD, AR 72120-6064
(501) 392-6102
Mailing address
5710 WARDEN RD STE 5, SHERWOOD, AR 72120-6064
(501) 392-6102
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2729
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197547742
—
AR
Enumeration date
07/11/2013
Last updated
07/11/2013
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