Individual
LAUREN MARIE CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5704 EUPER LN STE 100, FORT SMITH, AR 72903-3256
(479) 242-4480
(405) 336-3008
Mailing address
5704 EUPER LN STE 100, FORT SMITH, AR 72903-3256
(479) 242-4480
(405) 336-3008
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-141588
AR
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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