Individual
CARSON G NORWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 W MAIN ST STE 101, RUSSELLVILLE, AR 72801-2803
(479) 968-2001
Mailing address
301 N SIDNEY AVE, RUSSELLVILLE, AR 72801-4383
(479) 890-5494
(479) 498-9665
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-22-233176
AR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
03/23/2023
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