Individual
SHANE WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLPA
Contact information
Practice address
712 CALVIN AVERY DR STE C, WEST MEMPHIS, AR 72301-6515
(870) 394-9550
(870) 292-3422
Mailing address
215 ELDON CV, MARION, AR 72364-2385
(870) 897-8892
(870) 292-3422
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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