Individual
JULAINE PEARSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
3304 S M ST, FORT SMITH, AR 72903-2903
(479) 785-4677
Mailing address
PO BOX 244, HARTFORD, AR 72938-0244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7896
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y547
BCBS
AR
Enumeration date
04/03/2006
Last updated
07/08/2007
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