Individual
NICHOLE TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
148 LINWOOD DR, PARAGOULD, AR 72450-4077
(870) 219-1086
Mailing address
1117 GREGORY CT, JONESBORO, AR 72401
(870) 919-8910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4165
AR
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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