Individual
MRS. CARRIE ANN CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
39 HILAND STREET, FORT SMITH, AR 72901
(479) 462-4104
Mailing address
39 HILAND STREET, FORT SMITH, AR 72901
(479) 462-4104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2431
AR
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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