Individual
MRS. KATIE ELLEN STILWELL BLOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
4408 WALNUT STREET, SUITE 7, ROGERS, AR 72756-5006
(479) 246-0101
(901) 531-6735
Mailing address
103 RIDGEFIELD STREET, BENTONVILLE, AR 72712
(501) 590-6272
(901) 531-6735
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP3231
AR
Other
Enumeration date
10/09/2009
Last updated
03/16/2015
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