Individual
MRS. JANE BALL WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
602 N LINCOLN ST, CABOT, AR 72023-2601
(501) 843-3363
(501) 941-2613
Mailing address
16 LILLIE ST, CABOT, AR 72023-3104
(501) 605-3701
(501) 941-2613
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#547
AR
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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