Organization
WHOLE LIFE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RANDI DIANE HADDOCK LCSW (OWNER)
(479) 925-0122
Entity
Organization
Contact information
Practice address
4008 KISNER CIR, SPRINGDALE, AR 72762-6618
(479) 925-0122
Mailing address
4008 KISNER CIR, SPRINGDALE, AR 72762-6618
(479) 925-0122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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