| Whole Life Services | |
|
4008 Kisner Cir Springdale AR 72762-6618 | |
| (479) 925-0122 | |
| Not Available |
| Full Name | Whole Life Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4008 Kisner Cir, Springdale, Arkansas |
| Authorized Official Name and Position | Randi Diane Haddock (OWNER) |
| Authorized Official Contact | 4799250122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Life Services 4008 Kisner Cir Springdale AR 72762-6618 Ph: (479) 925-0122 | Whole Life Services 4008 Kisner Cir Springdale AR 72762-6618 Ph: (479) 925-0122 |
| NPI Number | 1144579947 |
|---|---|
| Provider Enumeration Date | 09/07/2012 |
| Last Update Date | 09/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144579947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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