Individual
MS. CONNIE BLASINGAME BRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. S. CCC-SLP
Contact information
Practice address
11517 KANIS RD, LITTLE ROCK, AR 72211-3724
(501) 993-8707
Mailing address
53 LAVAL CIRCLE, LITTLE ROCK, AR 72223
(501) 868-5678
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
434
AR
Other
Enumeration date
08/19/2010
Last updated
10/10/2011
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