Individual
MRS. FREIDA KAY DAVAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.C.D.
Contact information
Practice address
1501 W COURT ST, PARAGOULD, AR 72450-4025
(870) 239-3885
Mailing address
1501 W COURT ST, PARAGOULD, AR 72450-4025
(870) 239-3885
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1017
AR
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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