Individual
MRS. JENNIFER LEIGHT MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1006 S ARKANSAS AVE, RUSSELLVILLE, AR 72801-6733
(479) 890-5733
Mailing address
PO BOX 928, RUSSELLVILLE, AR 72811-0928
(479) 890-5733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2723
AR
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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