Individual
MS. KELLEY MARIE MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 FAYE ST, LAKE CITY, AR 72437-9597
(870) 919-4271
Mailing address
702 FAYE ST, LAKE CITY, AR 72437-9597
(870) 919-4271
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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