Individual
MERSADIES LANDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 W WALNUT ST, ROGERS, AR 72756-3316
(479) 802-4798
Mailing address
1310 W WALNUT ST, ROGERS, AR 72756-3316
(479) 802-4798
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/28/2013
Last updated
05/02/2017
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