Individual
JULIANNE LINDSEY MERGUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 MUSEUM RD, CONWAY, AR 72032-4739
(501) 358-6535
Mailing address
1040 CLARENCE DR, CONWAY, AR 72034-5566
(501) 358-9557
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-130233
AR
Other
Enumeration date
08/13/2020
Last updated
08/18/2020
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