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Organization
WOOLVERTON INSTITUTE FOR PSYCHOTHERAPY
Active
Organization
WOOLVERTON INSTITUTE FOR PSYCHOTHERAPY
Active
Other names
The Village Institute
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK WOOLVERTON PH.D. (DIRECTOR)
(479) 442-4080
Entity
Organization
Contact information
Practice address
21 W MOUNTAIN ST, SUITE 300, FAYETTEVILLE, AR 72701-6086
(479) 442-4080
(212) 253-4136
Mailing address
21 W MOUNTAIN ST, SUITE 300, FAYETTEVILLE, AR 72701-6086
(479) 442-4080
(212) 253-4136
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
04-19P
AR
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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