Individual
MRS. DANA L SITKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
62 MAGNOLIA CT, MOUNTAIN HOME, AR 72653-8776
(870) 492-2008
Mailing address
62 MAGNOLIA CT, MOUNTAIN HOME, AR 72653-8776
(870) 492-2008
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
01111505
MD
235Z00000X
Speech-Language Pathologist
Primary
SP#939
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127662721
—
AR
Enumeration date
11/18/2008
Last updated
11/18/2008
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