Individual
JAYLA ROSE JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
702 HICKORY ST, ARKADELPHIA, AR 71923-5040
(870) 464-1337
Mailing address
702 HICKORY ST, ARKADELPHIA, AR 71923-5040
(870) 464-1337
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
201384
AR
Other
Enumeration date
11/17/2020
Last updated
02/21/2023
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