Individual
MS. CARLA CROUCH TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
519 LATHAM DR, LOWELL, AR 72745-8360
(479) 750-0130
(479) 750-0937
Mailing address
519 LATHAM DR, LOWELL, AR 72745-8360
(479) 750-0130
(479) 750-0937
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1332-C
AR
Other
Enumeration date
09/13/2008
Last updated
01/17/2012
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