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MRS. GENA RAE WILKERSON CCC-SLP

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

Registrant NPI Number: 1043354079

Individual Registrant:
MRS. GENA RAE WILKERSON CCC-SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
459 BRADLEY ROAD 39  HERMITAGE, AR 71647-9107 US
Tel: 870-814-0608  Fax: --

Contact information for business:
459 BRADLEY ROAD 39  HERMITAGE, AR 71647-9107 US
Tel: 870-814-0608  Fax: --

Registration Information:
NPI: 1043354079
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
ARSP#1226

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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