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Individual

MRS. TERESA GAIL PENNINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.S.E.-SLP

Contact information

Practice address
412 WOODLAND, BRYANT, AR 72019-2469
(501) 847-5642
Mailing address
200 NW 4TH ST, BRYANT, AR 72022-3424
(501) 847-5642

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
06/03/2009
Last updated
06/03/2009
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