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Individual

MEAGAN E. LIEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
2400 W. MAIN, JACKSONVILLE, AR 72076-4212
(501) 982-0528
(501) 533-6327
Mailing address
2520 W. MAIN, JACKSONVILLE, AR 72076-4214
(501) 982-0528
(501) 533-6327

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12096018
AR
235Z00000X
Speech-Language Pathologist
Primary
P7929
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158603721
AR
01
5Y799
BCBS
AR
Enumeration date
01/05/2007
Last updated
06/28/2011
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