Individual
MRS. LORI T DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
32 BLUE MOUNTAIN DR, MAUMELLE, AR 72113-6354
(501) 247-2350
(801) 469-1285
Mailing address
32 BLUE MOUNTAIN DR, MAUMELLE, AR 72113-6354
(501) 247-2350
(801) 469-1285
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1912
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15020772
—
AR
Enumeration date
02/10/2009
Last updated
02/10/2009
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