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Individual

MISS SARAH REBECCA MILHOLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
272 SCHOOL AVE, WEST FORK, AR 72774-3124
(479) 839-3349
(479) 839-3752
Mailing address
PO DRAWER 2109, RUSSELLVILLE, AR 72811
(479) 967-2322

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
210942721
AR
Enumeration date
10/05/2015
Last updated
01/10/2023
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