Individual
JENNIFER LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 S CHERRY ST, HARRISON, AR 72601-5024
(870) 741-7600
Mailing address
808 SMITH DR, HARRISON, AR 72601-2437
(870) 741-0520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1495
AR
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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