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Individual

TABITHA RADFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
S.L.P.

Contact information

Practice address
4 N DOUBLE SPRINGS RD, FARMINGTON, AR 72730-2522
(479) 267-5960
(479) 267-5965
Mailing address
4 N DOUBLE SPRINGS RD, FARMINGTON, AR 72730-2522
(479) 267-5960
(479) 267-5965

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2284
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160603721
AR
Enumeration date
05/04/2007
Last updated
10/22/2013
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