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237 Ki Ke Acres Rd Searcy AR 72143-9363 | |
(501) 593-6997 | |
(866) 324-3931 |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 237 Ki Ke Acres Rd, Searcy, Arkansas |
Authorized Official Name and Position | Pamela M Wright (PRESIDENT/OWNER) |
Authorized Official Contact | 5015936997 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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237 Kike Acres Road Searcy AR 72143-9363 Ph: (501) 593-6997 | 237 Ki Ke Acres Rd Searcy AR 72143-9363 Ph: (501) 593-6997 |
NPI Number | 1538502885 |
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Provider Enumeration Date | 04/16/2013 |
Last Update Date | 06/13/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538502885 | NPI | - | NPPES |
1922238559 | Other | INDIVIDUAL NPI | |
5940 - C | Other | AR | LICENSE LCSW |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 5940 (Arkansas) | Primary |
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