Individual
MELISSA KUCYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
979 WESTON ST, PEA RIDGE, AR 72751-2628
(800) 451-0032
Mailing address
811 SW 3RD ST, BENTONVILLE, AR 72712-5768
(618) 303-7136
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
200203
AR
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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