Individual
MIKELLE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, CF-SLP
Contact information
Practice address
8411 S 28TH ST, FORT SMITH, AR 72908-8646
(479) 648-9600
Mailing address
1604 BROADDRICK LN, VAN BUREN, AR 72956-8951
(479) 208-8689
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
203261
AR
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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