Individual
ADRIENNE BAGWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., SLP-A
Contact information
Practice address
1200 OLD WARREN RD, MONTICELLO, AR 71655-9723
(870) 866-2940
Mailing address
420 E SHELTON AVE, MONTICELLO, AR 71655-5020
(870) 367-6820
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
15-006
AR
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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