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1215610886
HARRIETT GAYLE LONG
BENTONVILLE, AR
NPI
1215610886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MO 2023027329)
Enumeration Date
2023-08-10
Last Update Date
2024-11-06
Business Address
Mrs. HARRIETT GAYLE LONG CCC-SLP
2713 SE I ST STE 5
BENTONVILLE, AR 72712-0078
Phone number: 479-250-4355
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Mailing Address
Mrs. HARRIETT GAYLE LONG CCC-SLP
3611 AMBROSIA LN
BENTONVILLE, AR 72712-3054
Phone number: 417-669-6598
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