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Individual

ALISON HAMBUCHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
582 HIGHWAY 365 STE 3, MAYFLOWER, AR 72106-9525
(501) 470-3500
Mailing address
86 RICHLAND HILLS DR, CONWAY, AR 72034-9673

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP588
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203240721
AR
Enumeration date
08/12/2014
Last updated
08/12/2014
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