Individual
MICHAEL WITCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
225 E JACKSON AVE, JONESBORO, AR 72401-3119
(870) 972-4309
Mailing address
410 E ELM ST, WALNUT RIDGE, AR 72476-2817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 1232
AR
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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