Individual
ROBIN LESLIE EDMISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3998 HIGHWAY 1 N, FORREST CITY, AR 72335-7637
(870) 633-8780
Mailing address
PO BOX 148, MARION, AR 72364-0148
(870) 739-2737
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1812-M
AR
Other
Enumeration date
02/28/2007
Last updated
10/15/2008
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