Individual
MISS JACKLYN DYAN FRATESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
245 INDIAN BAY DR, SHERWOOD, AR 72120-3412
(501) 834-9960
Mailing address
1517 LOYOLA DR, LITTLE ROCK, AR 72211-6122
(501) 749-2270
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P7889
AR
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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