Individual
MRS. AMANDA MYCHALE COCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
781 W PICKENS RD, PEA RIDGE, AR 72751-2519
(479) 451-8181
Mailing address
201 S GILES AVE, GENTRY, AR 72734-9320
(479) 736-2253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/20/2008
Last updated
08/21/2008
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