Individual
MRS. ANGELA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 DUBLIN RD, NEW BLAINE, AR 72851-9185
(479) 264-2477
Mailing address
1190 DUBLIN RD, NEW BLAINE, AR 72851-9185
(479) 264-2477
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
13-003
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199527721
—
AR
Enumeration date
02/01/2014
Last updated
02/01/2014
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