Individual
SCARLETT LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5413 W KINGSHIGHWAY, PARAGOULD, AR 72450-3368
(870) 215-4400
Mailing address
802 S 58TH ST, PARAGOULD, AR 72450-3373
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP977
AR
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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