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Individual

MRS. CONNIE LYNN NIEDERKORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSP, CCC/SLP

Contact information

Practice address
13 STONEWOOD CT, CABOT, AR 72023-3664
(501) 941-0996
Mailing address
13 STONEWOOD CT, CABOT, AR 72023-3664
(501) 941-0996

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
472
AR

Other

Enumeration date
04/30/2008
Last updated
04/30/2008
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