Individual
MS. MARY ELIZABETH O'DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2607 CADDO ST STE 6, ARKADELPHIA, AR 71923-5307
(870) 230-8217
Mailing address
2607 CADDO ST STE 6, ARKADELPHIA, AR 71923-5307
(870) 230-8217
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2107-C
AR
1041C0700X
Clinical Social Worker
I-7130
OH
Other
Enumeration date
08/12/2009
Last updated
09/08/2021
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