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Individual

CASEY NICOLE TIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
209 FAIRVIEW RD, CROSSETT, AR 71635-4537
(662) 931-0108
Mailing address
209 FAIRVIEW RD, CROSSETT, AR 71635-4537
(870) 433-0410

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
200278
AR
235Z00000X
Speech-Language Pathologist
Primary
200278
AR

Other

Enumeration date
05/11/2022
Last updated
05/27/2025
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