Individual
MRS. STACII JERMAINE O'DONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1506 MACON DR, SUITE B-3, LITTLE ROCK, AR 72211-1849
(501) 223-9260
Mailing address
1506 MACON DR, SUITE B-3, LITTLE ROCK, AR 72211-1849
(501) 223-9260
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP# 2922
AR
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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