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Individual

MICHELLE MERRIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
615 W GRAND AVE, HOT SPRINGS, AR 71901-3927
(870) 609-0400
Mailing address
125 DONS WAY, HOT SPRINGS, AR 71913-6478
(501) 624-7111
(501) 620-5109

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7922-C
AR
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
230734719
AR
Enumeration date
01/26/2015
Last updated
12/28/2018
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