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Individual

JORDAN ELIZABETH MAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
506 E PINE ST, TAYLOR, AR 71861-9496
(903) 824-4892
Mailing address
48 SASSAFRAS DR, MAGNOLIA, AR 71753-4508
(903) 824-4892

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
201648
AR
2355S0801X
Speech-Language Assistant
37733
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021289601
TX
05
116506742
AR
Enumeration date
07/29/2013
Last updated
08/22/2022
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