Individual
ANGELINA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
151 SOUTHWEST DR, JONESBORO, AR 72401-5828
(870) 932-0090
Mailing address
151 SOUTHWEST DR, JONESBORO, AR 72401-5828
(870) 932-0090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8104
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167575721
—
AR
Enumeration date
07/14/2008
Last updated
07/14/2008
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