Individual
MRS. NILA R. BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP
Contact information
Practice address
137 MARION COUNTY 7020, FLIPPIN, AR 72634-8383
(870) 453-3404
Mailing address
137 MARION COUNTY 7020, FLIPPIN, AR 72634-8383
(870) 453-3404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
655
AR
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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