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Individual

DEE MISENHEIMER LANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, CCC/SLP

Contact information

Practice address
201 DONAGHEY AVE, CONWAY, AR 72035-5001
(501) 450-5480
(501) 450-5474
Mailing address
201 DONAGHEY AVE, CONWAY, AR 72035-5001
(501) 450-5480
(501) 450-5474

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1448
AR

Other

Enumeration date
07/12/2019
Last updated
07/12/2019
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