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Individual
MISS SHELBY MICHELLE PETERSEN
Active
Individual
MISS SHELBY MICHELLE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-A
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
18-007
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18-007
ARKANSAS BOARD OF EXAMINERS IN SPEECH PATHOLOGY AND AUDIOLOGY
AR
Enumeration date
11/01/2017
Last updated
03/17/2018
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