Individual
BROOK TAYLOR MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 725-5224
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 725-5224
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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