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Individual

SHONDA M GADBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DT

Contact information

Practice address
500 E 3RD ST, RUSSELLVILLE, AR 72801-5204
(479) 968-5048
(479) 968-5048
Mailing address
1915 W MAIN ST, RUSSELLVILLE, AR 72801-2725
(479) 968-1198
(479) 967-1178

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200209778
AR
Enumeration date
06/29/2017
Last updated
07/21/2022
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