Individual
MRS. VANESSA CAROLINE KOONCE/POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE CCC-SLP
Contact information
Practice address
101 BULLDOG DR, PLUMERVILLE, AR 72127-8803
(501) 354-2269
Mailing address
3690 GRESHAM DR, CONWAY, AR 72034-7298
(501) 327-1485
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1304
AR
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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