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Individual

SANDRA K WALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1507 E. RACE ST., SEARCY, AR 72143-4661
(501) 305-2359
(501) 305-2348
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0801004
AR
101YP2500X
Professional Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172638795
AR
01
5A827
BCBS
AR
Enumeration date
02/28/2008
Last updated
04/30/2021
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