Individual
NICOLE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
1606 PINE GROVE LN, HARRISBURG, AR 72432-9304
(870) 761-9155
Mailing address
121 HARPER DR, BROOKLAND, AR 72417-9063
(870) 761-9155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P8893
AR
Other
Enumeration date
04/29/2015
Last updated
02/29/2016
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