Individual
CASEY PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S GILES AVE, GENTRY, AR 72734-9320
(479) 736-8562
Mailing address
5807 SW MACASIN AVE, BENTONVILLE, AR 72713-7051
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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