Individual
JESSICA GOBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
272 SCHOOL AVE, WEST FORK, AR 72774-3124
(479) 967-2322
Mailing address
PO BOX 2109, RUSSELLVILLE, AR 72811-2109
(479) 967-2322
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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