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Individual

MRS. TERESA LYNN HURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MCD,CCC-SLP

Contact information

Practice address
5203B W KINGSHIGHWAY, PARAGOULD, AR 72450-3430
(870) 476-7090
(870) 215-4479
Mailing address
5203B W KINGSHIGHWAY, PARAGOULD, AR 72450-3430
(870) 476-7090
(870) 215-4479

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1109
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
129509721
AR
Enumeration date
11/03/2008
Last updated
11/03/2008
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