Individual
NICOLE WILSON SLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2220 PRINCE ST, CONWAY, AR 72034-3750
(501) 450-6634
Mailing address
1510 JOHN ED CIR, CONWAY, AR 72034-3462
(501) 733-9673
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1407
AR
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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