Individual
MARY KATHLEEN TREECE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1109 FAYETTEVILLE RD, VAN BUREN, AR 72956-3363
(479) 474-6444
(479) 474-6446
Mailing address
1109 FAYETTEVILLE RD, VAN BUREN, AR 72956-3363
(479) 474-6444
(479) 474-6446
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2909
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189839721
—
AR
Enumeration date
01/19/2012
Last updated
01/04/2024
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