Individual
AVERY ELIZABETH GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17706 INTERSTATE 30 N STE 3, BENTON, AR 72019-2930
(501) 315-4414
Mailing address
17706 INTERSTATE 30 N STE 3, BENTON, AR 72019-2930
(501) 315-4414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
203161
AR
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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