Individual
MRS. ANDREA BROOK INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3955 EAST MONITOR RD, SPRINGDALE, AR 72764-7430
(479) 750-8749
Mailing address
674 BUCKHEAD AVE, SPRINGDALE, AR 72764-7430
(479) 750-8749
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1930
AR
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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