Individual
MRS. BROOKE MCCULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
210 MANOR ST, MARION, AR 72364-1936
(870) 739-6818
(870) 739-1970
Mailing address
896 BLYTHE ST, MEMPHIS, TN 38104-5708
(901) 848-0010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1751-C
AR
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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