Individual
ALLIE FRANCES WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPEI
Contact information
Practice address
60 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1822
(479) 695-1240
(479) 750-4843
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-4843
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
13-40EI
AR
Other
Enumeration date
01/07/2013
Last updated
10/09/2017
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