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Organization
FAWNDA WHITE, INC.
Active
Organization
FAWNDA WHITE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAWNDA WHITE (PRESIDENT)
(501) 860-5882
Entity
Organization
Contact information
Practice address
1807 W MOLINE ST, MALVERN, AR 72104-2645
(501) 467-3166
Mailing address
PO BOX 669, BRYANT, AR 72089-0669
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2214
AR
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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