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207 Progress Way Ste 107 Bryant AR 72022-8810 | |
| (870) 858-0303 | |
| (479) 763-0030 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 207 Progress Way Ste 107, Bryant, Arkansas |
| Authorized Official Name and Position | Marquis Walker (DIRECTOR/OWNER) |
| Authorized Official Contact | 8708580303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2818 Whisker Way Benton AR 72015-2742 Ph: (870) 858-0303 | 207 Progress Way Ste 107 Bryant AR 72022-8810 Ph: (870) 858-0303 |
| NPI Number | 1063109916 |
|---|---|
| Provider Enumeration Date | 04/20/2023 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063109916 | NPI | - | NPPES |
| 1851971881 | Medicaid | AR | |
| 1063109916 | Other | AR | GROUP NPI |
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