Individual
MISS BLAKELEE ALYSSA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
123 S JOHN ST, DUMAS, AR 71639-2432
(870) 377-2476
Mailing address
123 S JOHN ST, DUMAS, AR 71639-2432
(870) 377-2476
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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