Individual
MARIAH HIATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
612 S 12TH ST, FORT SMITH, AR 72901-4702
(479) 452-5040
Mailing address
PO BOX 23070, BARLING, AR 72923-0070
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9687-M
AR
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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