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Individual

MS. MARIA REGINA WEINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPE-I

Contact information

Practice address
2506 COUNTRY CLUB RD, ARKADELPHIA, AR 71923-2930
(870) 230-8217
(870) 230-8201
Mailing address
115 TOWER LN, ARKADELPHIA, AR 71923-7190
(870) 245-2563

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
80-20EI
AR

Other

Enumeration date
05/27/2010
Last updated
05/27/2010
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