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NPI #1730888025 in Sherwood, Arkansas

Provider Information

NPI Number
1730888025
Entity Type
Organization
Organization Name
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Primary Specialty
Social Worker - Clinical
Enumeration Date
Feb 27, 2023
Last Updated
Jun 21, 2024

Practice Location

Address
2300 WILDWOOD AVE UNIT 6055
ZIP Code
72124-7999
Phone
(501) 599-7575

Authorized Official

Name
ELAINE M WILSON, LCSW
Title
PROVIDER, CEO
Phone
(501) 512-0255

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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