Individual
MARY MUSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3358 S 2ND ST STE A-C, CABOT, AR 72023-7873
(501) 286-6053
(501) 286-6090
Mailing address
2809 FOREST HOME RD, JONESBORO, AR 72401-5320
(866) 972-1268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2134-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229797719
—
AR
Enumeration date
03/07/2007
Last updated
05/25/2023
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