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Individual

MEREDITH PURIFOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CF-SLP

Contact information

Practice address
599 N CENTENNIAL AVE, WEST FORK, AR 72774-2711
(479) 200-3939
Mailing address
6590 W PAGOSA PL, FAYETTEVILLE, AR 72704-7004

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P8566
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
194438721
AR
Enumeration date
10/30/2012
Last updated
12/13/2012
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