person
Miss Callie Montana Miller
Speech-Language Assistant in Dequeen, Arkansas
NPI 1982963781

Callie Montana Miller is a Speech-Language Assistant based in Dequeen, AR and is specialized in Speech-Language Assistant. Callie Montana Miller practices in Dequeen, AR. The NPI Number for Callie Montana Miller is 1982963781 and holds a License No. 251300000X (Arkansas).

The current practice location address for Callie Montana Miller is 194 Choctaw Trail, Dequeen, AR and can be reached out via phone at 870-584-7864.

Location: 194 Choctaw Trail, Dequeen, AR, 71832
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Provider Profile Details
NPI Number
1982963781
Provider Name
Callie Montana Miller
Credential
Provider Entity Type
Individual
Gender
Female
Address
194 Choctaw Trail, Dequeen, AR, 71832
Phone Number
870-584-7864
Fax Number
Provider Enumeration Date
05/14/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
187548795 01 AR PRACTIONER ID NUMBER
10-0115 01 AR MEDICAID REGISTRATION NUMBER
institution
Provider Business Practice Location Address Details
Address
194 Choctaw Trail
City
State
Zip
71832
Phone Number
870-584-7864
Fax Number
person
Provider Business Mailing Address Details
Address
194 Choctaw Trail
City
State
Zip
71832
Phone Number
870-584-7864
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
License No.
251300000X (Arkansas)
Definition
Definition to come...
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