Individual
MIKAYLA FORSYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 CHINOOK W, AMITY, AR 71921-5059
(870) 828-0579
Mailing address
102 CHINOOK W, AMITY, AR 71921-5059
(870) 828-0579
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
201555
AR
Other
Enumeration date
05/20/2021
Last updated
06/07/2024
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