Individual
MRS. MARY ELIZABETH TELLEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
32 TAVISTOCK DR, BELLA VISTA, AR 72714-3502
(214) 636-6766
Mailing address
902 MCCLAIN RD, BENTONVILLE, AR 72712-9241
(214) 636-6766
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8522-C
AR
Other
Enumeration date
09/27/2010
Last updated
02/15/2024
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