Individual
JENNIFER ELIZABETH ST COLUMBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 GAMBLE RD, LITTLE ROCK, AR 72211-3202
(501) 315-4414
Mailing address
17706 I 30, BENTON, AR 72019-2907
(501) 315-4414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
06/12/2023
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