Individual
MRS. KAITLIN REBECCA LAN ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
602 N LINCOLN STREET, CABOOT, AR 72023
(501) 843-3562
Mailing address
10 WINDSOR PARK DRIVE, WARD, AR 72176
(859) 815-5044
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14398689
AR
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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