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1720536436
AUTUMN MOODY
LITTLE ROCK, AR
NPI
1720536436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR SP#P9101)
Enumeration Date
2016-09-12
Last Update Date
2016-09-12
Business Address
-- AUTUMN MOODY
319 N PINE ST
LITTLE ROCK, AR 72205-4215
Phone number: 501-447-5919
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Mailing Address
-- AUTUMN MOODY
1203 WILD TURKEY CT
LITTLE ROCK, AR 72211-2451
Phone number:
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