Individual
MARY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5606 LISBON RD, SMACKOVER, AR 71762-9002
(870) 310-0478
Mailing address
5606 LISBON RD, SMACKOVER, AR 71762-9002
(870) 310-0478
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
202734
AR
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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