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1861517476
ELLEN SHIRLEY
FAYETTEVILLE, AR
NPI
1861517476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR 676)
Enumeration Date
2007-03-20
Last Update Date
2007-07-09
Business Address
-- ELLEN SHIRLEY MACCCSLP
2474 E JOYCE BLVD STE 2
FAYETTEVILLE, AR 72703-4932
Phone number: 479-521-8326
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Mailing Address
-- ELLEN SHIRLEY MACCCSLP
1999 S VAN HOOSE DR
FAYETTEVILLE, AR 72701-9107
Phone number: 479-442-9259
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