Individual
JESSICA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 OLD GREENWOOD RD, SUITE I, FORT SMITH, AR 72903-4550
(479) 648-1888
Mailing address
2900 OLD GREENWOOD RD, FORT SMITH, AR 72903-4550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8223
AR
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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