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Maraysha Tierra Talley
Developmental Disabilities Clinic/Center in Magnolia, Arkansas
NPI 1053807586

Maraysha Tierra Talley is a Developmental Disabilities Clinic/Center based in El Dorado, AR and is specialized in Developmental Disabilities. Maraysha Tierra Talley practices in Magnolia, AR. The NPI Number for Maraysha Tierra Talley is 1053807586 and holds a License No. (Arkansas).

The current practice location address for Maraysha Tierra Talley is 301 W Calhoun, Magnolia, AR and can be reached out via phone at 870-234-1597. You can also correspond with Maraysha Tierra Talley through the mailing address at 301 MOOREWOOD ST APT 1022, EL DORADO, AR - 71730-2991 (mailing address contact number: 731-609-5616).

Location: 301 W Calhoun, Magnolia, AR, 71730-2991
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053807586
Provider Name
Maraysha Tierra Talley
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 W Calhoun, Magnolia, AR, 71730-2991
Phone Number
870-234-1597
Fax Number
Provider Enumeration Date
07/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 W Calhoun
City
Magnolia
State
Arkansas
Zip
71753-3508
Phone Number
870-234-1597
Fax Number
person
Provider Business Mailing Address Details
Address
301 W Calhoun
City
Magnolia
State
Arkansas
Zip
71753-3508
Phone Number
870-234-1597
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
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Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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