Individual
MR. SILAS MURDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2005 SE WALTON BLVD, BENTONVILLE, AR 72712
(479) 521-5731
Mailing address
2005 SE WALTON BLVD, BENTONVILLE, AR 72712
(479) 521-5731
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8955-C
AR
Other
Enumeration date
03/19/2014
Last updated
04/28/2021
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