Individual
SHARALEE COUGHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
519 LATHAM DR, LOWELL, AR 72745-8360
(479) 750-0125
(479) 750-0323
Mailing address
519 LATHAM DR, LOWELL, AR 72745-8360
(479) 750-0125
(479) 750-0323
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1536
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142552721
—
AR
Enumeration date
06/12/2008
Last updated
01/07/2011
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