Individual
LYDIA POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 S BROADVIEW ST STE A, GREENBRIER, AR 72058-9601
(501) 380-0028
Mailing address
2370 APPLE BLOSSOM LN, CONWAY, AR 72034-8452
(501) 672-6348
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
AR
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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