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KATIE JORDAN

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1962701086

Individual Registrant:
 KATIE  JORDAN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
492 HIGHWAY 25 N  GUY, AR 72061-7800 US
Tel: 501-679-3509  Fax: 501-679-3508

Contact information for business:
492 HIGHWAY 25 N  GUY, AR 72061-7800 US
Tel: 501-679-3509  Fax: 501-679-3508

Registration Information:
NPI: 1962701086
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
ARSP3218

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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