Individual
SUZANNE W. SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 S ELMIRA AVE, RUSSELLVILLE, AR 72802-9646
(479) 968-7118
(479) 968-8628
Mailing address
PO DRAWER 2109, RUSSELLVILLE, AR 72811
(479) 967-2322
(479) 967-2876
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8199
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176388721
—
AR
Enumeration date
04/01/2009
Last updated
01/10/2023
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