Individual
MARIAH PROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4550 PRINCE ST, CONWAY, AR 72034-8077
(844) 502-7996
Mailing address
4550 PRINCE ST, CONWAY, AR 72034-8077
(844) 502-7996
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
202830
AR
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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