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Individual

ALLISON MARIE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4901 WESTERN HILLS AVE, LITTLE ROCK, AR 72204-8495
(501) 447-6900
Mailing address
41 TUCKER CREEK RD, CONWAY, AR 72034-2915
(501) 269-0113

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
235Z00000X
Speech-Language Pathologist
Primary
SP3783
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207312721
AR
Enumeration date
02/21/2012
Last updated
04/08/2025
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