Individual
LESLIE JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 SOUTH MAIN STREET, SUMMIT, AR 72677
(870) 404-0976
Mailing address
PO BOX 610, VALLEY SPRINGS, AR 72682-0610
(870) 302-3100
(870) 741-0198
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P9004
AR
Other
Enumeration date
02/29/2016
Last updated
09/26/2022
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