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1659590412
BRIAN WAKEFIELD
FORT SMITH, AR
NPI
1659590412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR 1783)
Enumeration Date
2007-04-24
Last Update Date
2007-07-09
Business Address
Mr. BRIAN WAKEFIELD MS, CCC-SLP
7201 BLACKJACK DR
FORT SMITH, AR 72916-8904
Phone number: 479-649-7044
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Mailing Address
Mr. BRIAN WAKEFIELD MS, CCC-SLP
7201 BLACKJACK DR
FORT SMITH, AR 72916-8904
Phone number:
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