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Individual

MS. HALEE FAWNE ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(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
1041C0700X
Clinical Social Worker
Primary
2168-C
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116399726
AR
01
1245428242
MHN
01
5A580
USABLE
01
710401764
CORPHEALTH
Enumeration date
10/04/2007
Last updated
03/14/2016
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