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Nicole Rose
Speech-Language Assistant in Benton, Arkansas
NPI 1902346398

Nicole Rose is a Speech-Language Assistant based in Benton, AR and is specialized in Speech-Language Assistant. Nicole Rose practices in Benton, AR. The NPI Number for Nicole Rose is 1902346398 and holds a License No. (Arkansas).

The current practice location address for Nicole Rose is 207 W Conway St, Benton, AR and can be reached out via phone at 501-778-4861 and via fax at 501-776-5794.

Location: 207 W Conway St, Benton, AR, 72019-3455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902346398
Provider Name
Nicole Rose
Credential
Provider Entity Type
Individual
Gender
Female
Address
207 W Conway St, Benton, AR, 72019-3455
Phone Number
501-778-4861
Fax Number
501-776-5794
Provider Enumeration Date
03/03/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
217821721 05 AR
institution
Provider Business Practice Location Address Details
Address
207 W Conway St
City
Benton
State
Arkansas
Zip
72015-3727
Phone Number
501-778-4861
Fax Number
501-776-5794
person
Provider Business Mailing Address Details
Address
207 W Conway St
City
Benton
State
Arkansas
Zip
72015-3727
Phone Number
501-778-4861
Fax Number
501-776-5794
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
()
Definition
Definition to come...
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