Individual
JENNA X SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14859 PAULK RD, WEST FORK, AR 72774-9682
(479) 856-5641
Mailing address
14859 PAULK RD, WEST FORK, AR 72774-9682
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2355S0801X
AR
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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