Individual
VANESSA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 NW 4TH ST, BRYANT, AR 72022-3424
(501) 653-1012
Mailing address
200 NW 4TH ST, BRYANT, AR 72022-3424
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#483
AR
Other
Enumeration date
09/27/2008
Last updated
09/27/2008
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