Individual
MRS. CORIE SUZANNE WEDGEWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5312 W 10TH ST, LITTLE ROCK, AR 72204-1852
(501) 666-2484
Mailing address
1517 LOYOLA DR, LITTLE ROCK, AR 72211-6122
(501) 225-4935
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1780
AR
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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