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Individual

AMY WITTENBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
1400 PADGETT RD, CONWAY, AR 72034-8804
(501) 513-4417
Mailing address
20 STONEHEDGE DR, CONWAY, AR 72034-7237
(501) 908-4441

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1664
AR

Other

Enumeration date
02/07/2014
Last updated
02/07/2014
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