Organization
NORTHWEST ARKANSAS EDUCATIONAL SERVICE COOPERATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLLEEN MICK (COORDINATOR)
(479) 267-5960
Entity
Organization
Contact information
Practice address
4 N DOUBLE SPRINGS RD, FARMINGTON, AR 72730-2522
(479) 267-5960
(479) 267-5965
Mailing address
4 N DOUBLE SPRINGS RD, FARMINGTON, AR 72730-2522
(479) 267-5960
(479) 267-5965
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AR
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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