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1003309154
MICAH JOEL SMITH
FAYETTEVILLE, AR
NPI
1003309154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR 200127)
Enumeration Date
2018-06-13
Last Update Date
2018-06-13
Business Address
MICAH JOEL SMITH
3801 JOHNSON MILL BLVD # AB
FAYETTEVILLE, AR 72704-5297
Phone number: 479-790-0684
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Mailing Address
MICAH JOEL SMITH
327 S UNIVERSITY AVE APT 4
FAYETTEVILLE, AR 72701-5861
Phone number: 479-790-0684
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