Individual
MRS. CARLA CLIFTON LEGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
337 BEVILL AVENUE, BLYTHEVILLE, AR 72315
(870) 532-2310
Mailing address
337 BEVILL AVENUE, BLYTHEVILLE, AR 72315
(870) 532-2310
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#751
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U448
AR BLUECROSS BLUESHIELD
AR
Enumeration date
04/18/2007
Last updated
07/08/2007
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