Individual
MRS. JESSICA CAROLINE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1160 WALKER STREET, CLINTON, AR 72031
(501) 745-6046
Mailing address
PO BOX 255, CHOCTAW, AR 72028-0255
(501) 745-6606
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1428
AR
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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