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1093999518
PORTIA S CARR
BENTON, AR
NPI
1093999518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR SP#2606)
Enumeration Date
2007-12-19
Last Update Date
2016-01-04
Business Address
Mrs. PORTIA S CARR MS,CCC-SLP
7327 WORTH AVE E
BENTON, AR 72019-6895
Phone number: 501-773-7155
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Mailing Address
Mrs. PORTIA S CARR MS,CCC-SLP
7327 WORTH AVE E
BENTON, AR 72019-6895
Phone number: 501-773-7155
Copy
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