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MRS. JERI LOU FARABOUGH SLP

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

Registrant NPI Number: 1568669844

Individual Registrant:
MRS. JERI LOU FARABOUGH SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
BRADLEY STREET  STAR CITY, AR 71667 US
Tel: 870-628-4112  Fax: --

Contact information for business:
3655 HILLCREST RD  DUMAS, AR 71639-9428 US
Tel: 870-263-4079  Fax: --

Registration Information:
NPI: 1568669844
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
AR614

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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