Individual
MEAGAN FENTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 W 6TH AVE, PINE BLUFF, AR 71601-4033
(870) 534-0135
(870) 534-0135
Mailing address
912 W 6TH AVE, PINE BLUFF, AR 71601-4033
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8463
AR
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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