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Individual

SARA ANN BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MCD, CCC-SLP

Contact information

Practice address
2244 LEE ST, BATESVILLE, AR 72501-7767
(870) 307-3916
(870) 994-3108
Mailing address
4 OAK MEADOW CV, BATESVILLE, AR 72501-4208
(870) 307-3916
(870) 994-3108

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2633
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
162971721
AR
Enumeration date
04/11/2007
Last updated
02/05/2018
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