Individual
GRACE ANN CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
701 N WALTON BLVD STE 2AND4, BENTONVILLE, AR 72712-4548
(479) 250-9838
Mailing address
701 N WALTON BLVD STE 2AND4, BENTONVILLE, AR 72712-4548
(479) 250-9838
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AR
Other
Enumeration date
01/29/2021
Last updated
12/01/2023
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