Individual
DANIELLE SHOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
WILBUR MILLS COOP, 114 N MAIN, BEEBE, AR 72012
(501) 882-3852
(501) 882-1025
Mailing address
112 SAGEBRUSH LN, ROMANCE, AR 72136-6922
(501) 849-4016
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
11/27/2023
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