Individual
SARAH WILSON JAMES BRYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADAC
Contact information
Practice address
128 SOUTHWINDS RD STE 5, FARMINGTON, AR 72730-8678
(479) 267-6934
Mailing address
324 S HUNTER ST, FARMINGTON, AR 72730-3115
(479) 747-9213
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
369L
AR
1041C0700X
Clinical Social Worker
Primary
7058-C
AR
Other
Enumeration date
06/14/2010
Last updated
01/12/2024
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