Individual
MADISON GRACE COATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1938 FALLS BLVD N, WYNNE, AR 72396-4027
(870) 530-6002
Mailing address
2622 E JOHNSON AVE APT A, JONESBORO, AR 72405-4820
(870) 530-6002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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