Individual
HADLEY DAHLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1201 W 4TH PL, RUSSELLVILLE, AR 72801-5835
(479) 968-2650
Mailing address
168 POLK ROAD 680, MENA, AR 71953-8961
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
201240
AR
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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