Individual
MRS. JENNIFER M CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
17 WOODBRIDGE DR, CONWAY, AR 72034-3613
(501) 416-5253
Mailing address
17 WOODBRIDGE DR, CONWAY, AR 72034-3613
(501) 416-5253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2189
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154387721
—
AR
01
—
5X966
BCBS
AR
Enumeration date
01/16/2007
Last updated
07/08/2020
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