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1275051088
MATTHEW WADE RICHARDSON
FORT SMITH, AR
NPI
1275051088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR 200573)
Enumeration Date
2017-08-31
Last Update Date
2019-08-30
Business Address
Mr. MATTHEW WADE RICHARDSON CCC-SLP
3205 JENNY LIND RD
FORT SMITH, AR 72901-7101
Phone number: 479-785-2501
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Mailing Address
Mr. MATTHEW WADE RICHARDSON CCC-SLP
9505 CHAD COLLEY BLVD APT 3111
FORT SMITH, AR 72916-5818
Phone number: 801-623-1921
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