Individual
SHAUNDA BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD,CCC-SLP
Contact information
Practice address
6061 GREENE 707, PARAGOULD, AR 72450-7826
(870) 236-0633
Mailing address
PO BOX 2581, JONESBORO, AR 72402-2581
(870) 236-0633
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159617721
—
AR
Enumeration date
02/07/2007
Last updated
09/28/2011
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