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Individual

MRS. NANCY DIANE VANEVERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.E., CCC-SLP

Contact information

Practice address
2208 FOWLER AVE, SUITE C, JONESBORO, AR 72401-6115
(870) 931-0808
Mailing address
501 APPERSON DR, MARION, AR 72364-2652
(901) 270-6724

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1169
AR
235Z00000X
Speech-Language Pathologist
1362
TN

Other

Enumeration date
11/28/2011
Last updated
11/28/2011
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