Individual
WILLIAM L HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDS
Contact information
Practice address
615 N 19TH ST, FORT SMITH, AR 72901-3319
(479) 785-4083
(479) 668-2059
Mailing address
615 N 19TH ST, FORT SMITH, AR 72901-3319
(479) 785-4083
(479) 668-2059
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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