Individual
MRS. VICKI DEJUAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
605 3RD AVE, MURFREESBORO, AR 71958-9302
(870) 285-2193
Mailing address
605 3RD AVE, MURFREESBORO, AR 71958-9302
(870) 925-0551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01100860
ASHA LIC. #
—
Enumeration date
03/29/2007
Last updated
02/06/2025
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