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Organization

NWACI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM DUANE OLDHAM LPC (PROFESSIONAL COUNSELOR)
(479) 751-5704
Entity
Organization

Contact information

Practice address
130 SPRING ST, SPRINGDALE, AR 72764-4567
(479) 751-5704
(479) 750-7050
Mailing address
130 SPRING ST, SPRINGDALE, AR 72764-4567
(479) 751-5704
(479) 750-7050

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
P0407033
AR

Other

Enumeration date
01/09/2007
Last updated
07/15/2008
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