Individual
MS. JUDY A BANCEROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
600 S SCHOOL AVE STE B, FAYETTEVILLE, AR 72701-6429
(479) 267-0225
(479) 267-0225
Mailing address
PO BOX 454, FARMINGTON, AR 72730-0454
(479) 267-0225
(479) 267-0225
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0704013
AR
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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