Individual
MIA SHAWHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFY-SLP
Contact information
Practice address
3205 JENNY LIND RD, FORT SMITH, AR 72901-7101
(479) 785-2501
Mailing address
2806 GRINNELL AVE, FORT SMITH, AR 72908-8767
(906) 322-0280
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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