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Individual

MS. EMILY R CHEATHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 WILSON LOOP RD, WARD, AR 72176
(501) 941-5630
(501) 843-2270
Mailing address
PO BOX 333, WARD, AR 72176-0333
(501) 941-5630

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P8159
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
175495721
AR
Enumeration date
03/11/2009
Last updated
03/11/2009
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