Individual
BENTON DREW TOLLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4301 W MARKHAM ST # 835, LITTLE ROCK, AR 72205-7199
(903) 824-1020
Mailing address
4301 W MARKHAM ST # 835, LITTLE ROCK, AR 72205-7199
(903) 824-1020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9033-M
AR
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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