RYAN RUSSELL

BENTON, AR
NPI1003931577
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AR  SP #2073)
Enumeration Date2007-03-20
Last Update Date2007-07-08
Business Address
-- RYAN RUSSELL MSSLP.CCC
6701 HIGHWAY 67
BENTON, AR 72015-8909
Phone number: 501-860-0777
Mailing Address
-- RYAN RUSSELL MSSLP.CCC
1125 CHARLSEA LN
BENTON, AR 72015-2390
Phone number: 501-860-0777
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