Individual
BIANCA WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1707 LINWOOD DR STE G, PARAGOULD, AR 72450-5365
(870) 604-4455
Mailing address
1707 LINWOOD DR STE G, PARAGOULD, AR 72450-5365
(870) 604-4455
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7544-M
AR
104100000X
Social Worker
7544M
AR
1041C0700X
Clinical Social Worker
Primary
7544-C
AR
Other
Enumeration date
02/24/2014
Last updated
07/31/2023
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