Individual
MOLLIE VIRGINIA JANE BRECKENRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 HIGHWAY 5 N STE 10, MOUNTAIN HOME, AR 72653-3013
(870) 404-0270
Mailing address
40 CRYSTAL CREEK DR, MOUNTAIN HOME, AR 72653-5303
(870) 706-0475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
202525
AR
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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