Individual
MR. MARK A WARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1308 WEST 5TH STREET, CROSSETT, AR 71635
(870) 364-6471
(870) 364-9753
Mailing address
790 ROBERTS DRIVE, MONTICELLO, AR 71655
(870) 367-9732
(870) 460-6133
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9916E
AR
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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