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MRS. JERI LOU FARABOUGH SLP
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1568669844
Individual Registrant:MRS. JERI LOU FARABOUGH SLP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
BRADLEY STREET STAR CITY, AR 71667 US
Tel: 870-628-4112 Fax: --
Tel: 870-628-4112 Fax: --
Contact information for business:
3655 HILLCREST RD DUMAS, AR 71639-9428 US
Tel: 870-263-4079 Fax: --
Tel: 870-263-4079 Fax: --
Registration Information:
NPI: 1568669844
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | AR | 614 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
