Individual
MRS. LU ANN BLACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
300 WESTWOOD AVE, GREENWOOD, AR 72936-4921
(479) 996-7748
Mailing address
PO BOX 1547, GREENWOOD, AR 72936
(479) 883-2780
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP #1441
AR
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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