Individual
MS. KACY LYNN WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2100 W. PERRY RD, ROGERS, AR 72758
(479) 631-3515
(479) 202-9105
Mailing address
500 W. WALNUT, ROGERS, AR 72756
(479) 636-3910
(479) 202-9100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
201916
AR
Other
Enumeration date
10/04/2022
Last updated
01/06/2026
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