Individual
MITTIE BERNICE GREENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPY ASSIS
Contact information
Practice address
4 N DOUBLE SPRINGS RD, FARMINGTON, AR 72730-2522
(479) 267-5960
(479) 267-5965
Mailing address
4 N DOUBLE SPRINGS RD, FARMINGTON, AR 72730-2522
(479) 267-5960
(479) 267-5965
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
1111
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111
—
AR
Enumeration date
03/06/2008
Last updated
03/06/2008
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