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MRS. LAURA ALICE MITCHELL C.C.C.-S.L.P.

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

Registrant NPI Number: 1104961028

Individual Registrant:
MRS. LAURA ALICE MITCHELL C.C.C.-S.L.P.
Gender: F
Sole Proprietor

Location and contact information for practice:
RR 1 BOX 65A9  BEARDEN, AR 71720-9404 US
Tel: 870-313-1031  Fax: --

Contact information for business:
RR 1 BOX 65A9  BEARDEN, AR 71720-9404 US
Tel: 870-313-1031  Fax: --

Registration Information:
NPI: 1104961028
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
AR#598

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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