Individual
MRS. SHAYLIE CAPRI VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
107 N ROCKINGCHAIR RD, PARAGOULD, AR 72450-2414
(870) 897-2372
Mailing address
916 GREENE 601, PARAGOULD, AR 72450-7801
(870) 335-5313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2160
AR
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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