Individual
SHAINNA WALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CFY-SLP
Contact information
Practice address
2808 FOX MEADOW LN, JONESBORO, AR 72404-9346
(870) 932-4245
Mailing address
2808 FOX MEADOW LN, JONESBORO, AR 72404-9346
(870) 932-4245
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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