Individual
MARY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
806 GLENDALE ST, JONESBORO, AR 72401-4455
(870) 933-9528
Mailing address
210 GUM AVE, TRUMANN, AR 72472-3122
(870) 243-9808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8783
AR
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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