Individual
MRS. JACQUELINE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
4301 W MARKHAM ST # 621-1, LITTLE ROCK, AR 72205-7101
(501) 686-6120
Mailing address
4301 W MARKHAM ST # 621-1, LITTLE ROCK, AR 72205-7101
(501) 686-6120
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP #2658
AR
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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