Individual
JABETH WILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 LINDLEY LN, NEWPORT, AR 72112-4954
(870) 523-5168
Mailing address
221 LINDLEY LN, NEWPORT, AR 72112-4954
(870) 523-5168
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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