Individual
MRS. JERI LOU FARABOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
BRADLEY STREET, STAR CITY, AR 71667
(870) 628-4112
Mailing address
3655 HILLCREST RD, DUMAS, AR 71639-9428
(870) 263-4079
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
614
AR
Other
Enumeration date
06/29/2007
Last updated
07/09/2007
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