Individual
MRS. TAMARA CARRELL GRIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
383 GARDENIA LN, HARRISON, AR 72601-4505
(870) 577-5234
Mailing address
383 GARDENIA LN, HARRISON, AR 72601-4505
(870) 577-5234
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP966
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126379721
—
AR
Enumeration date
03/29/2007
Last updated
11/05/2012
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