Individual
MRS. VIRGINIA L VAN ES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
200 NW 4TH ST, BRYANT, AR 72022-3424
(501) 847-5606
Mailing address
13916 CARRINGTON PLACE COVE, ALEXANDER, AR 72002
(501) 773-8470
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2289
AR
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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