Individual
MRS. JEAN ROSE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
4208 CHIEFTAN LN, JONESBORO, AR 72401-7655
(870) 910-7819
Mailing address
4615 PROSPECT RD, JONESBORO, AR 72401-8637
(870) 972-5600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1778
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP#1778
—
AR
Enumeration date
08/21/2008
Last updated
08/21/2008
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