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Individual

BRIANNA D FORREST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
409 W OAK ST, MC GEHEE, AR 71654-2227
(870) 222-5400
Mailing address
19550 HIGHWAY 63, RISON, AR 71665-8166
(870) 952-9075

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
16-0165
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
217020721
AR
Enumeration date
03/27/2017
Last updated
10/23/2023
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