Individual
MRS. CARISA HEGEFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
202 MCCLURE AVE, LOWELL, AR 72745-9715
(479) 631-3610
Mailing address
202 MCCLURE AVE, LOWELL, AR 72745-9715
(479) 631-3610
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1808
AR
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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