Individual
MANDY MICHELE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
3101 SE 14TH ST, BENTONVILLE, AR 72712-4900
(479) 986-6081
(479) 986-6107
Mailing address
600 TURTLE CREEK DR, ROGERS, AR 72756-3180
(479) 986-6081
(479) 986-6107
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1791
AR
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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