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Individual

SHARON D MALLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3450 W 34TH AVE, PINE BLUFF, AR 71603-5508
(870) 534-6067
(870) 534-7297
Mailing address
800 MARSHALL ST, SLOT 900, LITTLE ROCK, AR 72202-3510
(501) 364-3620
(501) 364-3994

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
10/22/2008
Last updated
10/22/2008
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