Individual
MISTY DAWN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
900 N 4TH ST, DARDANELLE, AR 72834-3104
(479) 229-4185
(479) 229-5036
Mailing address
900 N 4TH ST, DARDANELLE, AR 72834-3104
(479) 229-4185
(479) 229-5036
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2892
AR
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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