Individual
MRS. ALLISON RENAE GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., SLP
Contact information
Practice address
721 W ELM ST, EL DORADO, AR 71730-5405
(870) 866-5251
Mailing address
721 W ELM ST, EL DORADO, AR 71730-5405
(870) 866-5251
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P8338
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187968721
—
AR
Enumeration date
08/30/2011
Last updated
08/30/2011
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