Individual
MARY REBECCA WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
301 W CALHOUN, MAGNOLIA, AR 71753-3508
(870) 234-1597
(870) 234-1797
Mailing address
502 E UNION, MAGNOLIA, AR 71753-3669
(870) 904-6063
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152679721
—
AR
Enumeration date
04/12/2007
Last updated
09/10/2021
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