Individual
BETHANIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 W 32ND AVE, PINE BLUFF, AR 71603-4768
(870) 879-1252
Mailing address
3810 CAMDEN RD, PINE BLUFF, AR 71603-9090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/06/2014
Last updated
07/06/2014
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