Supportive Care Of Arkansas Llc | |
811 W Elgin St Siloam Springs AR 72761-2327 | |
(718) 298-4375 | |
Not Available |
Full Name | Supportive Care Of Arkansas Llc |
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Speciality | Psychologist - Clinical |
Location | 811 W Elgin St, Siloam Springs, Arkansas |
Authorized Official Name and Position | Raphael Lichtschein (OWNER) |
Authorized Official Contact | 7185061115 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Supportive Care Of Arkansas Llc 27 Randolph Rd Howell NJ 07731-8611 Ph: (718) 298-4375 | Supportive Care Of Arkansas Llc 811 W Elgin St Siloam Springs AR 72761-2327 Ph: (718) 298-4375 |
NPI Number | 1730731993 |
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Provider Enumeration Date | 07/09/2019 |
Last Update Date | 07/09/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730731993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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