Individual
NEELY BLAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 BALCOM LN, TRUMANN, AR 72472-9502
(870) 418-1000
Mailing address
3127 SOUTHWEST DR STE A, JONESBORO, AR 72404-8404
(870) 336-8100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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