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Organization

MICHA MORGAN LAMBERSON, INC

Active
Other names
Kidabilities
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHA MORGAN LAMBERSON (CEO)
(870) 598-4477
Entity
Organization

Contact information

Practice address
2729 E NETTLETON AVE, SUITE D, JONESBORO, AR 72401-4530
(870) 598-4477
(870) 275-6439
Mailing address
4600 LOCHMOOR CIR, JONESBORO, AR 72401-8152
(870) 598-4477
(870) 275-6439

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
235550801
AR
2355S0801X
Speech-Language Assistant
R#12-014
AR
235Z00000X
Speech-Language Pathologist
SP#1608
AR
235Z00000X
Speech-Language Pathologist
Primary
SP#2411
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
193112742
AR
Enumeration date
09/05/2012
Last updated
09/05/2012
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