Individual
SUNJUNG KIM THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 DONAGHEY AVE # 4985, CONWAY, AR 72035-5003
(501) 852-0850
Mailing address
201 DONAGHEY AVE # 4985, CONWAY, AR 72035-5003
(501) 852-0850
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3265
AR
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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