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Individual

MS. MONICA GAYNAIL ELIZABETH RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
1413 CHESTNUT ST, CROSSETT, AR 71635-4015
(870) 364-8180
Mailing address
1413 CHESTNUT ST, CROSSETT, AR 71635-4015
(870) 364-8180

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2383
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168754721
AR
Enumeration date
11/06/2008
Last updated
11/06/2008
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