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NPI Code Detail

MEDICARE: MISS CASEY ERIN WOODRUFF

MEDICARE: MISS CASEY ERIN WOODRUFF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP#2577AR

General Provider Information

NPI Number : 1437421674
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CASEY ERIN WOODRUFF
Provider Business Mailing Address
First Line : 3115 S BOWMAN RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-4623
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3115 S BOWMAN RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-4623
Country : US
Telephone Number : 501-228-4848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2012
Last Update Date : 02/03/2012

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Directions to “ MISS CASEY ERIN WOODRUFF ” Practice Location

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