Individual
FAYTRENE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE., CCC-SP
Contact information
Practice address
318 W 24TH AVE, PINE BLUFF, AR 71601-7811
(870) 536-4369
(870) 536-4369
Mailing address
318 W 24TH AVE, PINE BLUFF, AR 71601-7811
(870) 536-4369
(870) 536-4369
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
461
AR
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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