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Individual

GINA RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MCD, CCC-SLP

Contact information

Practice address
4 BANE LN, CONWAY, AR 72032-9470
(501) 796-2018
Mailing address
7 MATTISON DR, VILONIA, AR 72173-9445
(501) 796-3561

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1182
AR

Other

Enumeration date
08/06/2008
Last updated
08/06/2008
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