Individual
CAROL LASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2153 E JOYCE BLVD, SUITE 201, FAYETTEVILLE, AR 72703-4714
(479) 575-9471
Mailing address
29 QUEENSFERRY DR, BELLA VISTA, AR 72715-4733
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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