Individual
MARY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1276 S MAIN ST, CAVE SPRINGS, AR 72718
(479) 245-3515
Mailing address
21924 W HIGHWAY 62, LINCOLN, AR 72744-9554
(479) 463-0263
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228589721
—
AR
Enumeration date
06/30/2017
Last updated
02/05/2019
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