Individual
MISS MADISON RAE MORITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD CF-SLP
Contact information
Practice address
10310 W MARKHAM ST STE 201, LITTLE ROCK, AR 72205-1579
(501) 406-7910
Mailing address
1601 LYNNWOOD, BENTON, AR 72015-3137
(501) 607-0099
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
202566
AR
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
02/06/2024
Last updated
02/13/2024
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