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Individual

MRS. SARAH ELLEN BLAGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
100 E 9TH ST, MOUNTAIN HOME, AR 72653-4704
(870) 404-5870
(870) 424-3208
Mailing address
PO BOX 2518, MOUNTAIN HOME, AR 72654-2518
(870) 404-5870

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2269
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154456721
AR
01
5Y010
ARKANSAS BLUE CROSS AND BLUE SHIELD
AR
Enumeration date
07/05/2007
Last updated
10/22/2025
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