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Individual

DILLON WEBSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
1310 W MAIN ST STE 100, RUSSELLVILLE, AR 72801-2803
(479) 964-2011
Mailing address
1220 E DATE ST, RUSSELLVILLE, AR 72802-7718
(479) 970-4844

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2208028
AR
171M00000X
Case Manager/Care Coordinator
AR

Other

Enumeration date
02/24/2014
Last updated
10/04/2022
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