Individual
MISS SUSAN JEAN BOLLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE,CCC-SLP
Contact information
Practice address
9403 DORSEY RD, JACKSONVILLE, AR 72076-8659
(501) 988-5809
Mailing address
9403 DORSEY RD, JACKSONVILLE, AR 72076-8659
(501) 988-5809
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
469
AR
Other
Enumeration date
04/30/2008
Last updated
08/30/2011
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