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Individual

MRS. HEATHER RAYE TULLOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MCD, CCC-SLP

Contact information

Practice address
895 E MAIN ST, PIGGOTT, AR 72454-2911
(870) 598-2546
(870) 598-3360
Mailing address
2769 COUNTY ROAD 341, PIGGOTT, AR 72454-8168
(870) 598-5944

Taxonomy

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

Other

Enumeration date
08/29/2008
Last updated
08/29/2008
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