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Individual

MALLORY HINDSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
400 N PECAN ST, CASTLEBERRY ELEMENTARY SCHOOL, NEWPORT, AR 72112-4075
(870) 523-1341
(870) 523-1341
Mailing address
400 N PECAN ST, CASTLEBERRY ELEMENTARY SCHOOL, NEWPORT, AR 72112-4075
(870) 523-1341
(870) 523-1341

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8225
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
178527721
AR
Enumeration date
10/19/2009
Last updated
10/19/2009
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