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Organization
CREATIVE LEARNING THERAPY
Active
Organization
CREATIVE LEARNING THERAPY
Active
Other names
Creative Kids Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH COKER MCD, CCC-SLP (OWNER/ADMIN)
(870) 926-3035
Entity
Organization
Contact information
Practice address
2025 SLOAN LAKE DR, JONESBORO, AR 72404-6894
(870) 926-3035
Mailing address
2025 SLOAN LAKE DR, JONESBORO, AR 72404-6894
(870) 926-3035
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2522
AR
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132780786
—
AR
05
—
181273742
—
AR
01
—
SR165
BCBS INSURANCE
AR
Enumeration date
03/22/2010
Last updated
04/13/2023
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